Healthcare Provider Details

I. General information

NPI: 1265494165
Provider Name (Legal Business Name): CPTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 N GALLATIN AVE
UNIONTOWN PA
15401-2969
US

IV. Provider business mailing address

180 N GALLATIN AVE
UNIONTOWN PA
15401-2969
US

V. Phone/Fax

Practice location:
  • Phone: 724-437-0250
  • Fax: 724-437-0403
Mailing address:
  • Phone: 724-437-0250
  • Fax: 724-437-0403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT003137L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierSW1338930
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK PROVIDER

VIII. Authorized Official

Name: MR. KEVIN L. SWEENEY
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PHYSICAL THERAPIST
Phone: 724-437-0520