Sewickley Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

800875E Issued in PA

Legal business name

SEWICKLEY PHYSICAL THERAPY LLC

Practice address

405 Lantern LN
Sewickley, PA 15143-2042

Phone

(412) 749-7884

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gayle Davis, LPTNPI 1679642052

Title

Manager Owner

Phone

(412) 749-7884

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gayle Davis, L.P.T.

  • Physical Therapist
  • Sewickley, PA
  • NPI 1679642052
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669519880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BEAVER ST",
            "address_2": "202",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431906",
            "telephone_number": "412-749-7884",
            "fax_number": "412-749-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LANTERN LN",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432042",
            "telephone_number": "412-749-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWICKLEY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "412-749-7884",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "800875E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1679642052",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "800875E",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "II8823",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sewickley Chiropractic Center
• Sewickley Chiropractic Center, P.C.
• Sewickley Eye Center, LTD
• Sewickley Foot and Ankle, PC
• Sewickley Pathologists
• Sewickley Primary Care, LLC
• Sewickley Spine & Joint Center PC
• Sewickley Valley Hospital
• Sewickley Valley Medical Group Inc
• Sewickley Valley Pediatrics & Adolescent Medicine

• Physical Therapist in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.