Active NPI
Michael G Brock
- Physical Therapist
- Greensburg, PA
National Provider Identifier
1457070609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT030539
- Practice address
- 5142 Route 30
Greensburg, PA 15601-7657 - Phone
- (724) 830-8750
- NPI assigned
- Aug 23, 2022
- Sex
- Male
- 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 | PT030539 | PA | Primary |
Addresses
Primary practice location
5142 Route 30
Greensburg, PA 15601-7657
Mailing address
5142 Route 30
Greensburg, PA 15601-7657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030539 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1457070609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5142 ROUTE 30",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5142 ROUTE 30",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017657",
"telephone_number": "724-830-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "MICHAEL",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-23",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT030539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.