Individual provider Active NPI

Artem Pyatanov, PT, DPT

  • Physical Therapist
  • Havertown, PA
National Provider Identifier
1871151159
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032371 Issued in PA
Practice address
57 W Eagle Rd
Havertown, PA 19083-2234
Phone
(610) 789-9887
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 PT032371 PA Primary

Addresses

Primary practice location

57 W Eagle Rd
Havertown, PA 19083-2234

Mailing address

11 Herald PL
Aston, PA 19014-2103
Phone (267) 210-9842

Other practice location 1

205 E Johnson Hwy
Norristown, PA 19401-2041
Phone (610) 275-6410

Other practice location 2

63rd And Walnut Streets, Philadelphia, PA 19139
Philadlephia, PA 19139
Phone (855) 840-7257

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

LicenseStateTypeSpecialty
PT032371PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief and Physical Therapy, Inc. Physical Therapist CurrentSince Feb 2, 2025 Accepting new patients

Locations

57 W Eagle Rd
Havertown, PA 19083
Phone (610) 789-9887

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.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1871151159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HERALD PL",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190142103",
            "telephone_number": "267-210-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832234",
            "telephone_number": "610-789-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Johnson Hwy",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194012041",
            "country_code": "US",
            "telephone_number": "610-275-6410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63rd And Walnut Streets, Philadelphia, PA 19139",
            "address_purpose": "LOCATION",
            "city": "Philadlephia",
            "state": "PA",
            "postal_code": "19139",
            "country_code": "US",
            "telephone_number": "855-840-7257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYATANOV",
        "first_name": "ARTEM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.