Active NPI
Absolute Primary Care
Doing business as Patriot Physical Therapy Cranberry
- Physical Therapist
- Cranberry TWP, PA
National Provider Identifier
1487822417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017392
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.