Active NPI
Artem Pyatanov, PT, DPT
- Physical Therapist
- Havertown, PA
National Provider Identifier
1871151159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT032371
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT032371 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Relief and Physical Therapy, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Havertown, PA
- NPI 1649234923
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.