Organization Active NPI

Direct Physiotherapy, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Pittsburgh, PA
National Provider Identifier
1750933255
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
DIRECT PHYSIOTHERAPY, LLC
Practice address
300 Mount Lebanon Blvd Ste 209B
Pittsburgh, PA 15234-1507
Phone
(412) 207-7612
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Mason Tupta, PTNPI 1538601547
Title
Owner
Phone
(412) 207-7612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

300 Mount Lebanon Blvd Ste 209B
Pittsburgh, PA 15234-1507

Mailing address

300 Mount Lebanon Blvd Ste 209B
Pittsburgh, PA 15234-1507
Phone (412) 207-7612

National Provider Directory

National Provider Directory

Locations

300 Mount Lebanon Blvd
Ste 209B
Pittsburgh, PA 15234
Phone (412) 207-7612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1750933255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT LEBANON BLVD STE 209B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341507",
            "telephone_number": "412-207-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT LEBANON BLVD STE 209B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341507",
            "telephone_number": "412-207-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "TUPTA",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-207-7612",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "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 Jul 15, 2019; 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.