NPIMap

Organization Active NPI

Pittsburgh Orofacial Myofunctional Therapy, LLC

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1538609482
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PITTSBURGH OROFACIAL MYOFUNCTIONAL THERAPY, LLC
Practice address
401 Shady Ave # G-100
Pittsburgh, PA 15206-4409
Phone
(412) 407-2668
NPI assigned
Feb 26, 2017
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Alyssa Marie StilesNPI 1063950251
Title
Certified Orofacial Myologist
Phone
(412) 407-2668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH071760 PA
Specialist 174400000X NU Primary
Massage Therapist 225700000X NU
Lactation Consultant (Non-RN) 174N00000X NU

Addresses

Primary practice location

401 Shady Ave # G-100
Pittsburgh, PA 15206-4409

Mailing address

401 Shady Ave # G-100
Pittsburgh, PA 15206-4409
Phone (412) 407-2668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1538609482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE # G-100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-407-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE # G-100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-407-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH OROFACIAL MYOFUNCTIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-26",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED OROFACIAL MYOLOGIST",
        "authorized_official_telephone_number": "412-407-2668"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH071760",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.