Organization Active NPI

Orthopedic & Sports Physical Therapy Associates, Inc.

  • Physical Therapist
  • Charleroi, PA
National Provider Identifier
1689636581
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOCIATES, INC.
Practice address
625 Lincoln Ave
Professional Plaza, Ste 208
Charleroi, PA 15022-2451
Phone
(724) 483-4886
Fax
(724) 483-0519
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Mr. Jody Henson, P.T
Title
PT
Phone
(724) 483-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

625 Lincoln Ave
Professional Plaza, Ste 208
Charleroi, PA 15022-2451

Mailing address

625 Lincoln Ave
Professional Plaza, Ste 208
Charleroi, PA 15022-2451
Phone (724) 483-4886

Other identifiers 2

IdentifierTypeStateIssuer
001593585MedicaidPA
152066OtherPAMEDICARE ID TYPE UNSPEC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090603000015 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890609887 Receives reassigned benefits from 132 practitioners
1 other NPI on this enrollment
Practice locations: Masontown, PA; Hermitage, PA; MC Murray, PA; North Charleroi, PA; North Versailles, PA; Perryopolis, PA; Pittsburgh, PA; Pleasant Hills, PA…
O20090701000230 WV Part B Supplier - Clinic/Group Practice 5890609887 Receives reassigned benefits from 13 practitioners
Practice locations: Morgantown, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 33)

2077 Brodhead Rd
Ste 2
Aliquippa, PA 15001
Phone (412) 896-4855

2077 Brodhead Rd
Ste 280
Aliquippa, PA 15001

5141 Brightwood Rd
Bethel Park, PA 15102
Phone (412) 831-1220

4846 Library Rd
Ste RT88
Bethel Park, PA 15102

113 Thornton Rd
Ste 2
Brownsville, PA 15417
Phone (724) 785-5262

113 Thornton Rd
Brownsville, PA 15417

631C National Pike E
Brownsville, PA 15417
Phone (724) 785-5262

1100 Ashwood Dr
Ste 1104A
Canonsburg, PA 15317

1 Veterans Way
Carnegie, PA 15106
Phone (724) 417-0660

1 Veterans Way
Ste G
Carnegie, PA 15106

3441 Millers Run Rd
Cecil, PA 15321
Phone (724) 942-5410

1438 Chestnut St
#1
Emmaus, PA 18049

1120 W Township Line Rd
Ste 110
Havertown, PA 19083
Phone (267) 281-5253

11639 State Route 30
Ste 5
Irwin, PA 15642

1115 Lowry Ave
Ste C
Jeannette, PA 15644

2012 McClellandtown Rd
Masontown, PA 15461
Phone (724) 583-1240

605 N Church St
Ste C
Mt Pleasant, PA 15666
Phone (412) 547-5566

625 Lincoln Ave
North Charleroi, PA 15022
Phone (724) 483-3610

625 Lincoln Ave
Ste 207
North Charleroi, PA 15022
Phone (724) 483-4886

625 Lincoln Ave
Ste 202
North Charleroi, PA 15022
Phone (724) 929-4250

11639 State Route 30
North Huntingdon, PA 15642

1145 Bower Hill Rd
Ste 301
Pittsburgh, PA 15243
Phone (412) 276-7022

3274 Babcock Blvd
Ste 3
Pittsburgh, PA 15237
Phone (412) 367-3388

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

710 Clairton Blvd
Ste 2
Pleasant Hills, PA 15236
Phone (412) 655-4252

Practitioners & affiliated clinicians

Practitioners 160

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

View all 160

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1689636581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "PROFESSIONAL PLAZA, STE 208",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-4886",
            "fax_number": "724-483-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE",
            "address_2": "PROFESSIONAL PLAZA, STE 208",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-4886",
            "fax_number": "724-483-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "724-483-3361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001593585",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPEC.",
            "identifier": "152066",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.