Provider Demographics
NPI:1003621624
Name:OCCHIPINTI, JUSTIN LOUIS (DPT)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:LOUIS
Last Name:OCCHIPINTI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 BON AIRE PLZ UNIT 11
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1981
Mailing Address - Country:US
Mailing Address - Phone:724-282-6500
Mailing Address - Fax:
Practice Address - Street 1:180 BON AIRE PLZ UNIT 11
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1981
Practice Address - Country:US
Practice Address - Phone:724-282-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist