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NPI Code Detail

MEDICARE: PHYSIOTHERAPY ASSOCIATES INC

MEDICARE: PHYSIOTHERAPY ASSOCIATES INC
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/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000206866OTHERINBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780711374
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSIOTHERAPY ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 1245
Second Line :
City : INDIANA
State : PA
Zip : 15701-5245
Country : US
Telephone Number : 724-465-3496
Fax Number : 215-413-4682
Provider Business Practice Location Address
First Line : 5936 N KEYSTONE AVE
Second Line : SUITE 101
City : INDIANAPOLIS
State : IN
Zip : 46220-2458
Country : US
Telephone Number : 317-257-8340
Fax Number : 317-257-8361
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : MRS. JAYNE FLECK POOL
Credential :
Telephone Number : 469-467-8705
Provider Enumeration Date : 02/28/2007
Last Update Date : 08/02/2012

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Directions to “PHYSIOTHERAPY ASSOCIATES INC ” Practice Location

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