Sergiusz Leslaw Labudek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009209L

Practice address

124 Loughridge Dr
Beaver Falls, PA 15010-1422

Phone

(724) 846-5887

Fax

(724) 843-9276

NPI assigned

Feb 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1508323817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 HEARTHSTONE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LOUGHRIDGE DR",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101422",
            "telephone_number": "724-846-5887",
            "fax_number": "724-843-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABUDEK",
        "first_name": "SERGIUSZ",
        "middle_name": "LESLAW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT009209L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009209L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmcavalonspringsplace@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secureupmcdirectaddress",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "745greenville rd",
            "city": "mercer",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.