Active NPI
Brian Mock
- Physical Therapist
- Wexford, PA
National Provider Identifier
1780896035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018118
- Practice address
- 12680 Perry Hwy Ste 105
Wexford, PA 15090-8887 - Phone
- (724) 720-4510
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018118 | PA | Primary |
Addresses
Primary practice location
12680 Perry Hwy Ste 105
Wexford, PA 15090-8887
Mailing address
12680 Perry Hwy Ste 105
Wexford, PA 15090-8887
Phone (724) 720-4510
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC | |
| Direct Messaging Address | brian.a.mock@upmcdirect.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018118 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Network, LLC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- brian.a.mock@upmcdirect.com
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.
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1871551028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1780896035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12680 PERRY HWY STE 105",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908887",
"telephone_number": "724-720-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12680 PERRY HWY STE 105",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908887",
"telephone_number": "724-720-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCK",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018118",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "upmchospitals@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brian.a.mock@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.