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NPI Code Detail

MEDICARE: ADVANCED CENTER FOR PHYSICAL THERAPY, PLC

MEDICARE: ADVANCED CENTER FOR PHYSICAL THERAPY, PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterVA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11336155845OTHERVANPI

General Provider Information

NPI Number : 1336467661
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CENTER FOR PHYSICAL THERAPY, PLC
Provider Business Mailing Address
First Line : PO BOX 392573
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-9573
Country : US
Telephone Number : 724-448-2733
Fax Number :
Provider Business Practice Location Address
First Line : 2000 WESTINGHOUSE DR STE 200
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5238
Country : US
Telephone Number : 724-584-5739
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF CREDENTIALING
Name : LAUREN LAU
Credential :
Telephone Number : 724-989-4564
Provider Enumeration Date : 05/11/2010
Last Update Date : 02/05/2021

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Directions to “ADVANCED CENTER FOR PHYSICAL THERAPY, PLC ” Practice Location

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