Individual provider Active NPI

Regina Leigh Piccirilli

  • Physical Therapist
  • Hermitage, PA
National Provider Identifier
1609266808
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
260 S Buhl Farm Dr Apt 104
Hermitage, PA 16148-2529
Phone
(847) 565-9156
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 Primary

Addresses

Primary practice location

260 S Buhl Farm Dr Apt 104
Hermitage, PA 16148-2529

Mailing address

1450 South Canfield-Niles Rd.
Youngstown, OH 44515
Phone (330) 792-7495

Other practice location 1

1450 South Canfield-Niles Rd.
Youngstown, OH 44515
Phone (330) 792-7495 ext. 1023

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1609266808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SOUTH CANFIELD-NILES RD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44515",
            "telephone_number": "330-792-7495",
            "fax_number": "330-797-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S BUHL FARM DR APT 104",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482529",
            "telephone_number": "847-565-9156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 South Canfield-Niles Rd.",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44515",
            "country_code": "US",
            "telephone_number": "330-792-7495 x1023",
            "fax_number": "330-797-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICCIRILLI",
        "first_name": "REGINA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.