Active NPI
Nathan L Blakeley, PT, DPT, CSCS
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1699107094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022900
- Practice address
- 1789 S Braddock Ave Ste 10
Pittsburgh, PA 15218-1871 - Phone
- (412) 244-7750
- NPI assigned
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022900 | PA | Primary |
Addresses
Primary practice location
1789 S Braddock Ave Ste 10
Pittsburgh, PA 15218-1871
Mailing address
1145 Fox Hill Dr Apt 213
Monroeville, PA 15146-1651
Phone (724) 388-4757
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT022900 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1699107094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 FOX HILL DR APT 213",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151461651",
"telephone_number": "724-388-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1789 S BRADDOCK AVE STE 10",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152181871",
"telephone_number": "412-244-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKELEY",
"first_name": "NATHAN",
"middle_name": "L",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.