Dynasty Laprade
Individual provider Active NPI Physical Therapist · California, PA
NPI 1689139792 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1689139792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT033035 (PA)
- Practice address
- 250 University Ave
California, PA 15419-1341 - Phone
- (724) 938-5806
- NPI assigned
- Feb 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Rehabilitation Systems of McMurray
Practice addresses (Care Compare)
250 University Ave
RM 103
California, PA 15419-1341
Phone (724) 938-5806
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250319001287 | PA | Practitioner - Physical Therapist in Private Practice | 1850813809 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT033035 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rehabilitation Systems of McMurray | Current |
Accepting new patients | |
| Keystone Rehabilitation Systems of McMurray | Current |
Accepting new patients |
Locations
250 University Ave
California, PA 15419
Phone (724) 938-4000
250 University Ave
Rm 103
California, PA 15419
Phone (724) 938-5806
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT033035 | PA | Yes |
Addresses
Primary practice location
250 University Ave
California, PA 15419-1341
Mailing address
241 Cypress Hill Dr
Pittsburgh, PA 15235-2614
Phone (412) 609-6525
Other providers in California, PA
- Marissa Howk
- Toshimitsu Ishizuka
- Jordan Jacobs
- Sophia Laurren Johnson
- Jessica Kissel
- Jessica L. Lawrence
- Alanna Leber
- Cynthia Michelle Lee
- Randolph Aaron Magone
- Barry E. McGlumphy
All providers in California, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.