Healthcare Provider Details

I. General information

NPI: 1932151040
Provider Name (Legal Business Name): PINNACLE PHYSICAL THERAPY P. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 ROUTE 611 SUITE 3
BARTONSVILLE PA
18321-9439
US

IV. Provider business mailing address

102 ROUTE 611 SUITE 3
BARTONSVILLE PA
18321-9439
US

V. Phone/Fax

Practice location:
  • Phone: 570-619-7370
  • Fax:
Mailing address:
  • Phone: 570-619-7370
  • 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: DOUGLAS EUGENE HALADAY
Title or Position: VICE PRESIDENT
Credential: PT, MHS, DPT,
Phone: 570-619-7370