Healthcare Provider Details

I. General information

NPI: 1275584161
Provider Name (Legal Business Name): SPECIALTY ORTHOPAEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 HIGHLAND RD
HERMITAGE PA
16148-4512
US

IV. Provider business mailing address

3120 HIGHLAND RD
HERMITAGE PA
16148-4512
US

V. Phone/Fax

Practice location:
  • Phone: 724-342-2663
  • Fax:
Mailing address:
  • Phone: 724-342-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT W PISTON
Title or Position: PRESIDENT CEO
Credential: M.D.
Phone: 724-342-2663