Douglas M Havrilesko

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE001786L Issued in PA

Practice address

60 Highland Rd
Bethel Park, PA 15102-1806

Phone

(421) 831-6050

NPI assigned

Oct 13, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1992957625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SUNSET BLVD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153011260",
            "telephone_number": "724-222-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HIGHLAND RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021806",
            "telephone_number": "421-831-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRILESKO",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE001786L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Daniel Hammer, MD
• Leila Hannaoui
• Scott T Harrington, MD
• Lonny Weslee Harrison, OD
• Pamela E Hassinger, CRNA
• Megan Heck, RDN
• Nicole Heidelbach
• Randy James Heiser
• Brittany L Heiskell, PA-C
• David Helfrich

• Physical Therapy Assistant in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.