Individual provider Active NPI

Nicholas R Altavilla, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1770329708
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011956 Issued in PA
Practice address
5400 Keeport Dr
Pittsburgh, PA 15236-3008
Phone
(412) 655-9300
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011956 PA Primary

Addresses

Primary practice location

5400 Keeport Dr
Pittsburgh, PA 15236-3008

Mailing address

5400 Keeport Dr
Pittsburgh, PA 15236-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722000878 PA Practitioner - Chiropractic 7810433364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

228 E McMurray Rd
Suite B
MC Murray, PA 15317-2948
Phone (412) 855-9884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011956PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeforce Chiropractic Incorporated Chiropractor CurrentSince Jul 17, 2024 Accepting new patients
Altavilla Chiropractic and Sports Recovery PC Chiropractor CurrentSince Jun 9, 2025 Accepting new patients

Locations

228 E McMurray Rd
#B
McMurray, PA 15317
Phone (412) 439-1416

5400 Keeport Dr
Pittsburgh, PA 15236
Phone (412) 655-8171

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1770329708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KEEPORT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KEEPORT DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152363008",
            "telephone_number": "412-655-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAVILLA",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011956",
            "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 9, 2024; 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.