Organization Active NPI

Regeneration Pittsburgh PLLC

  • Physical Medicine & Rehabilitation Physician
  • Wexford, PA
National Provider Identifier
1932626744
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
REGENERATION PITTSBURGH PLLC
Practice address
12590 Perry Hwy Ste 700
Wexford, PA 15090-1549
Phone
(724) 382-7272
Fax
(877) 295-2381
NPI assigned
Aug 23, 2017
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Dr. Thomas Joseph BurnettNPI 1780829499
Title
Owner
Phone
(724) 382-7272

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 Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

12590 Perry Hwy Ste 700
Wexford, PA 15090-1549

Mailing address

12590 Perry Hwy Ste 700
Wexford, PA 15090-1549
Phone (724) 382-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212001642 PA Part B Supplier - Clinic/Group Practice 0749540771 Receives reassigned benefits from 3 practitioners
Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Locations

2605 Nicholson Rd
Sewickley, PA 15143
Phone (724) 933-6222

12590 Perry Hwy
Ste 700
Wexford, PA 15090
Phone (419) 206-2343

12950 Perry Hwy 700
Wexford, PA 15090

Practitioners & affiliated clinicians

Practitioners 3

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": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1932626744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12590 PERRY HWY STE 700",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901549",
            "telephone_number": "724-382-7272",
            "fax_number": "877-295-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12590 PERRY HWY STE 700",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901549",
            "telephone_number": "724-382-7272",
            "fax_number": "877-295-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION PITTSBURGH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-382-7272",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.