Organization Active NPI

Absolute Primary Care

Doing business as Patriot Physical Therapy Cranberry

  • Physical Therapist
  • Cranberry TWP, PA
National Provider Identifier
1487822417
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017392 Issued in PA
Legal business name
ABSOLUTE PRIMARY CARE
Doing business as
Patriot Physical Therapy Cranberry
Practice address
20630 Route 19
Suite 102
Cranberry TWP, PA 16066-6001
Phone
(724) 779-2273
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gary Bornak, MPT
Title
Business Manager
Phone
(412) 462-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT017392 PA Primary

Addresses

Primary practice location

20630 Route 19
Suite 102
Cranberry TWP, PA 16066-6001

Mailing address

20630 Route 19
Suite 102
Cranberry TWP, PA 16066-6001
Phone (724) 779-2273

Other names 1

  • PATRIOT PHYSICAL THERAPY CRANBERRY Doing business as

National Provider Directory

National Provider Directory

Locations

20630 Route 19
Unit 102
Cranberry Twp, PA 16066
Phone (724) 591-8005

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1487822417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20630 ROUTE 19",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666001",
            "telephone_number": "724-779-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20630 ROUTE 19",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666001",
            "telephone_number": "724-779-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BORNAK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "412-462-1191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATRIOT PHYSICAL THERAPY CRANBERRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.