MEDICARE: HUBERT PHYSICAL THERAPY LLC

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1720564073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUBERT PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	122 SOUTH JACKSON STREET
Second Line	:
City	:	EVANS CITY
State	:	PA
Zip	:	16033-1219
Country	:	US
Telephone Number	:	724-432-3035
Fax Number	:	724-432-3008

Provider Business Practice Location Address
First Line	:	122 SOUTH JACKSON STREET
Second Line	:
City	:	EVANS CITY
State	:	PA
Zip	:	16033-1219
Country	:	US
Telephone Number	:	412-551-9576
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	HEATHER HUBERT
Credential	:	PT
Telephone Number	:	724-432-3035

Provider Enumeration Date	:	07/18/2018
Last Update Date	:	05/13/2026

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