Individual provider Active NPI

Jamie Delorie

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1740602168
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021424 Issued in PA
Practice address
1205 Old Meadow Rd
Pittsburgh, PA 15241-3519
Phone
(724) 255-7702
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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 PT021424 PA Primary

Addresses

Primary practice location

1205 Old Meadow Rd
Pittsburgh, PA 15241-3519

Mailing address

1205 Old Meadow Rd
Pittsburgh, PA 15241-3519
Phone (724) 255-7702

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228002324 PA Practitioner - Physical Therapist in Private Practice 7618347071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Abilities LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

429 Washington Ave
Ste 3
Bridgeville, PA 15017
Phone (412) 319-7371

Organizations & group practices 1

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1740602168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 OLD MEADOW RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413519",
            "telephone_number": "724-255-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 OLD MEADOW RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413519",
            "telephone_number": "724-255-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORIE",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021424",
            "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 Mar 28, 2018; 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.