Elite Performance Physical Therapy PC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-006821L Issued in PA

Legal business name

ELITE PERFORMANCE PHYSICAL THERAPY PC

Practice address

7051 Steubenville Pike
Suite 2
Oakdale, PA 15071-3318

Phone

(412) 788-4626

Fax

(412) 788-4335

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Fred R Lutz Jr.

Title

Physical Therapist

Phone

(412) 788-4626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1972880243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 STEUBENVILLE PIKE",
            "address_2": "SUITE 2",
            "city": "OAKDALE",
            "state": "PA",
            "postal_code": "150711509",
            "telephone_number": "412-788-4626",
            "fax_number": "412-788-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 STEUBENVILLE PIKE",
            "address_2": "SUITE 2",
            "city": "OAKDALE",
            "state": "PA",
            "postal_code": "150713318",
            "telephone_number": "412-788-4626",
            "fax_number": "412-788-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "412-788-4626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT-006821L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Oakdale, PA
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• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.