Healthcare Provider Details

I. General information

NPI: 1669602389
Provider Name (Legal Business Name): THE PHYSICAL THERAPY INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5540 SOUTH ST
LINCOLN NE
68506-2119
US

IV. Provider business mailing address

480 JOHNSON RD
WASHINGTON PA
15301-8936
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-1611
  • Fax:
Mailing address:
  • Phone: 724-223-2061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RYAN CHRISTOFF
Title or Position: PRESIDENT
Credential: PT
Phone: 724-223-2061