Active NPI
Alexa Maria Vatakis, PT
- Physical Therapist
- Carnegie, PA
National Provider Identifier
1447910013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030084
- Practice address
- 148 E Main St
Carnegie, PA 15106-2429 - Phone
- (412) 276-1016
- NPI assigned
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT030084 | PA | Primary |
Addresses
Primary practice location
148 E Main St
Carnegie, PA 15106-2429
Mailing address
15 Linden Ave
Monessen, PA 15062-1516
Phone (724) 470-5039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030084 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rehabilitation Systems, Inc. | Current | Accepting new patients | |
| Keystone Rehabilitation Systems, Inc. | Current | Accepting new patients | |
| Keystone Rehabilitation Systems, Inc. | Current | Accepting new patients |
Locations
148 E Main St
Carnegie, PA 15106
Phone (412) 276-1016
725 Cherrington Pkwy
Ste 200
Moon Twp, PA 15108
Phone (412) 262-7800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Dingmans Ferry, PA
- NPI 1164944245
-
- Physical Therapy Clinic/Center
- Homestead, PA
- NPI 1184174476
-
- Physical Therapy Clinic/Center
- Macungie, PA
- NPI 1205386547
-
- Physical Therapy Clinic/Center
- Butler, PA
- NPI 1336878941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640476800000",
"number": "1447910013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LINDEN AVE",
"city": "MONESSEN",
"state": "PA",
"postal_code": "150621516",
"telephone_number": "724-470-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 E MAIN ST",
"city": "CARNEGIE",
"state": "PA",
"postal_code": "151062429",
"telephone_number": "412-276-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VATAKIS",
"first_name": "ALEXA",
"middle_name": "MARIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2021-12-26",
"certification_date": "2021-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carnegie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.