Active NPI
Justin L Bieranoski, PT
- Physical Therapist
- Waynesburg, PA
National Provider Identifier
1992875272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018133
- Practice address
- 107 Curry Rd
Waynesburg, PA 15370-3415 - Phone
- (724) 627-4074
- Fax
- (724) 833-9449
- NPI assigned
- Nov 8, 2006
- 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 | PT018133 | PA | Primary |
Addresses
Primary practice location
107 Curry Rd
Waynesburg, PA 15370-3415
Mailing address
225 Dodd Dr
Washington, PA 15301-9529
Phone (724) 681-2570
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 |
|---|---|---|---|
| PT018133 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1992875272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 DODD DR",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153019529",
"telephone_number": "724-681-2570",
"fax_number": "724-833-9449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CURRY RD",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153703415",
"telephone_number": "724-627-4074",
"fax_number": "724-833-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERANOSKI",
"first_name": "JUSTIN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.