Organization Active NPI

Fotia Physical Therapy LLC

  • Physical Therapist
  • Ellwood City, PA
National Provider Identifier
1871103184
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOTIA PHYSICAL THERAPY LLC
Practice address
199 Portersville Rd
Ellwood City, PA 16117-2473
Phone
(724) 923-0250
NPI assigned
Aug 3, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Joseph A FotiaNPI 1487754560
Title
Owner
Phone
(724) 201-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

199 Portersville Rd
Ellwood City, PA 16117-2473

Mailing address

199 Portersville Rd
Ellwood City, PA 16117-2473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201001002414 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335568880 Receives reassigned benefits from 1 practitioner
Practice locations: Ellwood City, PA

National Provider Directory

National Provider Directory

Locations

199 Portersville Rd
Ellwood City, PA 16117
Phone (724) 201-0123

Practitioners & affiliated clinicians

Practitioners 2

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": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1871103184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PORTERSVILLE RD",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PORTERSVILLE RD",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172473",
            "telephone_number": "724-923-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOTIA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "FOTIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-201-0123"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.