Performance Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT005873L Issued in PA

Legal business name

PERFORMANCE PHYSICAL THERAPY, PC

Practice address

2661 Clearview Rd
Allison Park, PA 15101-3180

Phone

(412) 492-8691

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Richard B Lyon, PTNPI 1780676767

Title

Owner

Phone

(412) 492-8691

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard B Lyon, PT

  • Specialist
  • Allison Park, PA
  • NPI 1780676767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1578756813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 CLEARVIEW RD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013180",
            "telephone_number": "412-492-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 CLEARVIEW RD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151013180",
            "telephone_number": "412-492-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-492-8691",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT005873L",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT005873L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1533587",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamia W Patterson, M.D.
• Brandon Payne
• Alyssa Claire Pelosi, PHARMD
• Naomi Pennington, PT
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy 07611)
• Charles A Perryman, M.D.
• Angela Lynn Petrosky, PA-C
• Jillian Phinney, LSW
• Pittsburgh Caregivers Inc. (Home Helpers)
• Joanna M Polefrone, PHD

• Physical Therapy Clinic/Center in Allison Park, PA
• Providers in Allison Park, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.