Timothy Kubistek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016738 Issued in PA

Practice address

2030 Ader Rd
Jeannette, PA 15644-4500

Phone

(724) 327-3553

NPI assigned

Jun 30, 2006

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allstar Therapies Inc

  • Rehabilitation Clinic/Center
  • Jeannette, PA
  • NPI 1861602252
  Medicare reassignment
• Allstar Therapies Inc.

  • Nursing Facility/Intermediate Care Facility
  • Jeannette, PA
  • NPI 1952515835
  NPD
• Valley Outpatient Rehabilitation

  • Specialist
  • Monongahela, PA
  • NPI 1285696179
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1932138435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 ADER RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444500",
            "telephone_number": "724-327-3553",
            "fax_number": "724-733-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 ADER RD",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444500",
            "telephone_number": "724-327-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISTEK",
        "first_name": "TIMOTHY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "232924881",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016749970004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Knight McGowan, MD
• Stephanie Kottelich
• Natalie Christine Kraly, CRNP
• Maryjo Kramer, LPN
• Heather Kress, MS, CCC-SLP
• Cheri Ledbetter
• Maureen E Leonardo, CRNP
• Mark Timothy Levander, DC
• Stephanie Levander
• Louis G Izzo DPM LLC

• Physical Therapist in Jeannette, PA
• Providers in Jeannette, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.