Healthcare Provider Details

I. General information

NPI: 1841283553
Provider Name (Legal Business Name): FRITZ PHYSICAL THERAPY & SPORTS MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1597 WASHINGTON PIKE
BRIDGEVILLE PA
15017-2874
US

IV. Provider business mailing address

1597 WASHINGTON PIKE
BRIDGEVILLE PA
15017-2874
US

V. Phone/Fax

Practice location:
  • Phone: 412-278-1221
  • Fax: 412-278-0201
Mailing address:
  • Phone: 412-278-1221
  • Fax: 412-278-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT015258
License Number StatePA

VIII. Authorized Official

Name: MR. BRIAN JAMES FRITZ
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT
Phone: 412-278-1221