Active NPI
Anthony E. Livingston
- Physical Therapy Assistant
- Greenville, PA
National Provider Identifier
1568709665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE009628
- Practice address
- 26 Conneaut Lake Rd
Greenville, PA 16125-2167 - Phone
- (724) 588-3001
- NPI assigned
- Jan 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE009628 | PA | Primary |
Addresses
Primary practice location
26 Conneaut Lake Rd
Greenville, PA 16125-2167
Mailing address
26 Conneaut Lake Rd
Greenville, PA 16125-2167
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
| License | State | Type | Specialty |
|---|---|---|---|
| TE009628 | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Horizon | Past | Accepting new patients | |
| Core Network, LLC | Physical Therapy Assistant | Past | Accepting new patients |
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.
-
- Gastroenterology Physician
- Hermitage, PA
- NPI 1134309552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1568709665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CONNEAUT LAKE RD",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161252167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 CONNEAUT LAKE RD",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161252167",
"telephone_number": "724-588-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "ANTHONY",
"middle_name": "E.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE009628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.