Individual provider Active NPI

Dominic Anthony Violi, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Pittsburgh, PA
National Provider Identifier
1699337188
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
PT030460 Issued in PA
Practice address
4156 Library Road
Building 3 Rear
Pittsburgh, PA 15234
Phone
(412) 212-0302
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 101381-01 NY
Physical Therapist 225100000X 300440 CA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X PT030460 PA Primary

Addresses

Primary practice location

4156 Library Road
Building 3 Rear
Pittsburgh, PA 15234

Mailing address

4156 Library Road
Building 3 Rear
Pittsburgh, PA 15234
Phone (412) 212-0302

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
044675NYMDPharmacist
101381-01NYMDSports Medicine (Physical Medicine & Rehabilitation) Physician
PT030460PAMDSports Medicine (Physical Medicine & Rehabilitation) Physician
300440CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forge Performance Physical Therapy LLC Physical Therapist CurrentSince Oct 23, 2022 Accepting new patients
Kime Performance Nevada LLC PastSince Jul 12, 2021 Accepting new patients

Locations

4156 Library Rd
Ste 3
Pittsburgh, PA 15234
Phone (412) 212-0302

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1699337188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 LIBRARY ROAD",
            "address_2": "BUILDING 3 REAR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15234",
            "telephone_number": "412-212-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 LIBRARY ROAD",
            "address_2": "BUILDING 3 REAR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15234",
            "telephone_number": "412-212-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLI",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "101381-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300440",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "PT030460",
            "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 Oct 12, 2022; 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.