Individual provider Active NPI

Michael George Metelsky, DPT

  • Physical Therapist
  • Ellwood City, PA
National Provider Identifier
1720333065
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 017951 Issued in PA
Practice address
724 Pershing St
Ellwood City, PA 16117-1474
Phone
(724) 301-4273
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 017951 PA Primary

Addresses

Primary practice location

724 Pershing St
Ellwood City, PA 16117-1474

Mailing address

724 Pershing St
Ellwood City, PA 16117-1474
Phone (724) 301-4273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121129000014 PA Practitioner - Physical Therapist in Private Practice 6406008358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael D Rairigh,Au.D PLLCGroup PAC ID 0648444612, 4 clinicians

Practice addresses (Care Compare)

3135 Highland Rd
Suite B
Hermitage, PA 16148-4511
Phone (724) 347-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 017951PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Rairigh,Au.D PLLC CurrentSince Mar 1, 2020 Accepting new patients
Penn Ohio Rehabilitation, PC Physical Therapist PastSince Oct 28, 2015 Accepting new patients
Michael D Rairigh,Au.D PLLC Physical Therapist PastSince Mar 1, 2020 Accepting new patients

Locations

3135 Highland Rd
Ste B
Hermitage, PA 16148
Phone (724) 346-4371

Organizations & group practices 3

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1720333065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PERSHING ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171474",
            "telephone_number": "724-301-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 PERSHING ST",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171474",
            "telephone_number": "724-301-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELSKY",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 017951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.