Individual provider Active NPI

Eli Sacks, DPT

  • Physical Therapist
  • Coraopolis, PA
National Provider Identifier
1659117687
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032243 Issued in PA
Practice address
980 Beaver Grade Rd Ste 201
Coraopolis, PA 15108-2774
Phone
(412) 262-3354
Fax
(412) 269-4819
NPI assigned
Jul 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 PT032243 PA Primary

Addresses

Primary practice location

980 Beaver Grade Rd Ste 201
Coraopolis, PA 15108-2774

Mailing address

470 Johnson Rd Ste 140
Washington, PA 15301-8977
Phone (724) 223-2061

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

LicenseStateTypeSpecialty
PT032243PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Physical Therapy Institute Physical Therapist PastSince Jul 21, 2024 Accepting new patients
The Physical Therapy Institute PastSince Jul 21, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1659117687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 JOHNSON RD STE 140",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018977",
            "telephone_number": "724-223-2061",
            "fax_number": "724-223-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BEAVER GRADE RD STE 201",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082774",
            "telephone_number": "412-262-3354",
            "fax_number": "412-269-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "ELI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.