Organization Active NPI

Essential Physical Therapy & Wellness of Westmoreland, LLC

  • Physical Therapy Clinic/Center
  • Greensburg, PA
National Provider Identifier
1609431857
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ESSENTIAL PHYSICAL THERAPY & WELLNESS OF WESTMORELAND, LLC
Practice address
1602 Broad St Ste 3
Greensburg, PA 15601-5478
Phone
(724) 217-8938
Fax
(878) 214-8130
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Shaye Oravetz, DPT
Title
Owner
Phone
(724) 454-8806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1602 Broad St Ste 3
Greensburg, PA 15601-5478

Mailing address

1602 Broad St Ste 3
Greensburg, PA 15601-5478
Phone (724) 217-8938

Other identifiers 2

IdentifierTypeStateIssuer
1030187360002MedicaidPA
11953149OtherCAQH

Other names 1

  • Essential Physical Therapy & Wellness of Westmoreland, LLC Other name

National Provider Directory

National Provider Directory

Locations

1602 Broad St
Ste 3
Greensburg, PA 15601
Phone (724) 217-8938

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1609431857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 BROAD ST STE 3",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015478",
            "telephone_number": "724-217-8938",
            "fax_number": "878-214-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 BROAD ST STE 3",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015478",
            "telephone_number": "724-217-8938",
            "fax_number": "878-214-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PHYSICAL THERAPY & WELLNESS OF WESTMORELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "ORAVETZ",
        "authorized_official_first_name": "SHAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-454-8806",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030187360002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11953149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Physical Therapy & Wellness of Westmoreland, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.