Healthcare Provider Details

I. General information

NPI: 1306642897
Provider Name (Legal Business Name): ORTHOPEDIC AND SPORTS PHYSICAL THERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 CLAIRTON BLVD STE 2
PLEASANT HILLS PA
15236-4650
US

IV. Provider business mailing address

4325 RTE 51 N
ROSTRAVER TWP PA
15012
US

V. Phone/Fax

Practice location:
  • Phone: 412-655-4252
  • Fax: 412-655-4253
Mailing address:
  • Phone: 724-565-5806
  • Fax: 724-483-0290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JACKIE CUPARI
Title or Position: CREDENTIALING
Credential:
Phone: 724-565-5806