SQUARE ONE PHYSICAL THERAPY LLC (NPI# 1720438690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720438690 |
Entity Type | Organization |
Organization Name | SQUARE ONE PHYSICAL THERAPY LLC |
Practice Address |
4543 Mcknight Rd Pittsburgh PA 15237-3108 |
Mailing Address |
1204 E Elfinwild Rd Allison Park PA 15101-3915 |
Practice Telephone | 4127481616 |
Mailing Telephone | 4127481616 |
Mailing Fax Number | 4122130881 |
Enumeration Date | 2016-06-21 |
Last Update Date | 2020-04-27 |
Authorized Official Name | GORDON RIDDLE (PHYSICAL THERAPIST) |
Authorized Official Telephone | 4127604874 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT017595 | PA | Ambulatory Health Care Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
8623 Old Perry Hwy, Pittsburgh, PA 152374660 | 4127604874 |
Street Address |
4543 MCKNIGHT RD |
City | PITTSBURGH |
State | PA |
Zip Code | 15237-3108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689620510 | Gordon C Riddle | Physical Therapist | 4543 Mcknight Rd, Pittsburgh, PA 15237-3108 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701347 | Ann Elizabeth Patterson | Internal Medicine | 5700 Corporate Drive Suite 410, Pittsburgh, PA 15237 | 2019-10-14 |
1548801335 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 100 Ross Park Mall Dr, Suite A07a, Pittsburg, PA 15237 | 2019-10-02 |
1619529286 | Tracey Willis | Nurse Practitioner | 9101 Babcock Blvd, Pittsburgh, PA 15237 | 2019-07-12 |
1285295899 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 8950 Duncan Ave, Pittsburg, PA 15237 | 2019-06-25 |
1295235745 | Lauren Wehr | Speech-Language Pathologist | 6000 Babcock Blvd Ste 103, Pittsburgh, PA 15237 | 2018-02-20 |
1497255822 | Christine Spera | Registered Nurse | 9100 Babcock Blvd Fl 2, Pittsburgh, PA 15237 | 2018-02-12 |
1790204295 | Cathy Reed | Nurse Practitioner | 8305 Mcknight Rd, Pittsburgh, PA 15237 | 2017-09-15 |
1184150005 | Jodie Elizabeth Luther | Dentist | 8035 Mcknight Rd Ste 201, Pittsburgh, PA 15237 | 2017-05-11 |
1811434905 | Hacer Diler | Physical Therapist | 7045 Bennington Woods Dr, Pittsburgh, PA 15237 | 2017-01-26 |
1174079305 | Preethi Kuknooru | Dentist | 1709 Teal Trce, Pittsburgh, PA 15237 | 2016-08-28 |
Find all providers in zip 15237 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396380150 | Sfas Physical Therapy LLC | Clinic/Center | 347a Old Curry Hollow Rd, Pittsburgh, PA 15236-4608 | 2019-11-14 |
1871092668 | Kelly and Kelley Enterprises LLC | Clinic/Center | 1111 Powers Run Rd, Pittsburgh, PA 15238-2615 | 2018-02-07 |
1740647817 | Motion In Action | Clinic/Center | 4156 Library Rd, Pittsburgh, PA 15234-1349 | 2016-01-20 |
1568846251 | Pinnacle Physical Therapy Institute | Clinic/Center | 9 E Forest Ave, Pittsburgh, PA 15202-1253 | 2015-07-13 |
1649668088 | Optimum Care Physical Therapy | Clinic/Center | 419 Wilson Dr, Pittsburgh, PA 15235-1741 | 2015-01-08 |
1972915841 | Vitality Physical Therapy LLC | Clinic/Center | 1500 Mohican Dr, Pittsburgh, PA 15228-1616 | 2014-05-28 |
1295769370 | Sprague Physical Therapy Center, Inc | Clinic/Center | 734 E Warrington Ave, Pittsburgh, PA 15210-1565 | 2006-07-11 |
1669414173 | Allegiance Physical Therapy Limited Partnership | Clinic/Center | 3300 Saw Mill Run Blvd, Suite B, Pittsburgh, PA 15227-2716 | 2006-06-11 |
1598707077 | Keystone Rehabilitation Systems Inc | Clinic/Center | 434 Boulevard of The Allies, Pittsburgh, PA 15219-1314 | 2006-06-11 |
1497723175 | Praxis Physical Therapy, Inc. | Clinic/Center | 6011 Baptist Rd, Suite 100, Pittsburgh, PA 15236 | 2006-03-09 |
Find all providers in PITTSBURGH |
City | PITTSBURGH |
Zip Code | 15237 |
Please comment or provide details below to improve the information on SQUARE ONE PHYSICAL THERAPY LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.