Individual provider Active NPI

Maurice Habineza, P.T.,D.P.T.,M.S.P.T

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1558542134
Registry record updated Nov 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017411 Issued in PA
Practice address
1105 Perry Hwy
Pittsburgh, PA 15237-2114
Phone
(412) 369-9955
Fax
(412) 369-5959
NPI assigned
Nov 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017411 PA Primary
Physical Therapist 225100000X PT 002486 WV

Addresses

Primary practice location

1105 Perry Hwy
Pittsburgh, PA 15237-2114

Mailing address

1105 Perry Hwy
Pittsburgh, PA 15237-2114
Phone (412) 369-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT017411PAMDPhysical Therapist
PT 002486WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1195862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195862400000",
    "number": "1558542134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372114",
            "telephone_number": "412-369-9955",
            "fax_number": "412-369-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372114",
            "telephone_number": "412-369-9955",
            "fax_number": "412-369-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABINEZA",
        "first_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "P.T.,D.P.T.,M.S.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-24",
        "last_updated": "2007-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017411",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT 002486",
            "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 Nov 24, 2007; 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.