Individual provider Active NPI

William Shrock, DPT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1861029365
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028211 Issued in PA
Practice address
5140 Liberty Ave
Pittsburgh, PA 15224-2215
Phone
(412) 315-3895
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 PT028211 PA Primary

Addresses

Primary practice location

5140 Liberty Ave
Pittsburgh, PA 15224-2215

Mailing address

100 S Jackson Ave
Pittsburgh, PA 15202-3428
Phone (412) 734-6030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wshrock204405@direct.ahn.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611000842 PA Practitioner - Physical Therapist in Private Practice 3779904156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Unlimited by Dan Glatz LLCGroup PAC ID 2062664436, 4 clinicians

Practice addresses (Care Compare)

12620 Perry Hwy
Wexford, PA 15090-8662
Phone (724) 816-3583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028211PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Mar 11, 2020 Accepting new patients
Allegheny Clinic CurrentSince Mar 11, 2020 Accepting new patients
Performance Unlimited by Dan Glatz LLC CurrentSince Sep 15, 2020 Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

5140 Liberty Ave
Pittsburgh, PA 15224
Phone (412) 682-2100

12620 Perry Hwy
Wexford, PA 15090
Phone (724) 816-3583

Interoperability endpoints

  • Direct secure messaging: wshrock204405@direct.ahn.org

Organizations & group practices 4

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1861029365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JACKSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023428",
            "telephone_number": "412-734-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242215",
            "telephone_number": "412-315-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROCK",
        "first_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wshrock204405@direct.ahn.org",
            "affiliation": "N",
            "address_1": "5140 Liberty Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 14, 2020; 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.