Organization Active NPI

Tri Rivers Surgical Associates, Inc.

Doing business as Tri Rivers Physical Medicine & Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Butler, PA
National Provider Identifier
1679771091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TRI RIVERS SURGICAL ASSOCIATES, INC.
Doing business as
Tri Rivers Physical Medicine & Rehabilitation
Practice address
301 1St St
Suite 100
Butler, PA 16001-4756
Phone
(724) 287-1556
Fax
(412) 367-7079
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Robyn Beckwith, CEO
Title
Chief Executive Officer
Phone
(412) 367-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

301 1St St
Suite 100
Butler, PA 16001-4756

Mailing address

9104 Babcock Blvd
Suite 2120
Pittsburgh, PA 15237-5818
Phone (412) 367-0600

Other identifiers 1

IdentifierTypeStateIssuer
0006963180002MedicaidPA

Other names 1

  • Tri Rivers Physical Medicine & Rehabilitation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679771091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 2120",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-367-0600",
            "fax_number": "412-367-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 1ST ST",
            "address_2": "SUITE 100",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014756",
            "telephone_number": "724-287-1556",
            "fax_number": "412-367-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI RIVERS SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECKWITH",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "412-367-0600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006963180002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri Rivers Physical Medicine & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • 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.