NPIMap

Organization Active NPI

Advance Wellness & Education Center,LLC

  • Physical Therapist
  • Sarver, PA
National Provider Identifier
1649600982
Registry record updated Apr 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007479L Issued in PA
Legal business name
ADVANCE WELLNESS & EDUCATION CENTER,LLC
Practice address
105 S Pike Rd
Suite 200
Sarver, PA 16055-9283
Phone
(724) 272-3844
NPI assigned
Nov 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2014

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

Authorized official

Name
Rebecca Traggiai, P.T.NPI 1700912987
Title
Owner/Physical Therapist
Phone
(724) 272-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT007479L PA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SL007570 PA

Addresses

Primary practice location

105 S Pike Rd
Suite 200
Sarver, PA 16055-9283

Mailing address

222 Moorehead Rd
Sarver, PA 16055-8670

National Provider Directory

National Provider Directory

Locations

105 S Pike Rd
Ste 200
Sarver, PA 16055
Phone (724) 272-3844

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397260800000",
    "number": "1649600982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MOOREHEAD RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S PIKE RD",
            "address_2": "SUITE 200",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559283",
            "telephone_number": "724-272-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE WELLNESS & EDUCATION CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2014-04-12",
        "status": "A",
        "authorized_official_last_name": "TRAGGIAI",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "724-272-3844",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007479L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2014; 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.