Individual provider Active NPI

Paul Allegretto, MSPT

  • Physical Therapist
  • Johnsonburg, PA
National Provider Identifier
1518334952
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016645 Issued in PA
Practice address
111-113 Cobb St.
Johnsonburg, PA 15845
Phone
(814) 965-5279
Fax
(814) 965-4251
NPI assigned
Sep 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016645 PA Primary

Addresses

Primary practice location

111-113 Cobb St.
Johnsonburg, PA 15845

Mailing address

111-113 Cobb St.
Johnsonburg, PA 15845
Phone (814) 965-5279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114000369 PA Practitioner - Physical Therapist in Private Practice 0648572230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Regional Professional Group, Inc. Current Accepting new patients
Elk Regional Professional Group Inc Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients

Locations

190 N Fraley St
Ste 1
Kane, PA 16735
Phone (814) 837-8955

99 Hospital St
Ridgway, PA 15853
Phone (814) 788-5555

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1518334952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111-113 COBB ST.",
            "city": "JOHNSONBURG",
            "state": "PA",
            "postal_code": "15845",
            "telephone_number": "814-965-5279",
            "fax_number": "814-965-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-113 COBB ST.",
            "city": "JOHNSONBURG",
            "state": "PA",
            "postal_code": "15845",
            "telephone_number": "814-965-5279",
            "fax_number": "814-965-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEGRETTO",
        "first_name": "PAUL",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnsonburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.

Verify at the official NPI Registry.