Individual provider Active NPI

Martha Patterson-Avery, PT

  • Physical Therapist
  • McKeesport, PA
National Provider Identifier
1801973102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017974 Issued in PA
Practice address
1985 Lincoln Way
Rainbow Shopping Plaza
McKeesport, PA 15131-2418
Phone
(412) 672-2352
Fax
(412) 672-2657
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT017974 PA Primary

Addresses

Primary practice location

1985 Lincoln Way
Rainbow Shopping Plaza
McKeesport, PA 15131-2418

Mailing address

405 Patterson LN
Belle Vernon, PA 15012-8301
Phone (412) 512-9623

Other identifiers 2

IdentifierTypeStateIssuer
467320OtherPAOSPTA -BLUE SHIELD
968089OtherPAVOR'S BLUE SHIELD #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017974PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801973102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PATTERSON LN",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150128301",
            "telephone_number": "412-512-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 LINCOLN WAY",
            "address_2": "RAINBOW SHOPPING PLAZA",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151312418",
            "telephone_number": "412-672-2352",
            "fax_number": "412-672-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON-AVERY",
        "first_name": "MARTHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSPTA -BLUE SHIELD",
            "identifier": "467320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VOR'S BLUE SHIELD #",
            "identifier": "968089",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.