Healthcare Provider Details

I. General information

NPI: 1255350286
Provider Name (Legal Business Name): METRO ORTHOPEDIC PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 11/21/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 INTERSTATE PKWY STE 32
BRADFORD PA
16701-1036
US

IV. Provider business mailing address

105 PEBBLE CT
MC KEES ROCKS PA
15136-1083
US

V. Phone/Fax

Practice location:
  • Phone: 412-787-3293
  • Fax: 412-787-1821
Mailing address:
  • Phone: 412-787-3293
  • Fax: 412-787-1821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License NumberPT000789E
License Number StatePA

VIII. Authorized Official

Name: DR. ROBERT DANIEL BAKER
Title or Position: PRESIDENT
Credential: PT, DSC, ECS
Phone: 412-787-3293