Healthcare Provider Details

I. General information

NPI: 1598734378
Provider Name (Legal Business Name): BIOMECHANICAL ORTHOPEDIC ASSESSMENT AND REHABILITATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MCKEAN AVE STE 108
CHARLEROI PA
15022-2141
US

IV. Provider business mailing address

1200 MCKEAN AVE STE 108
CHARLEROI PA
15022-2141
US

V. Phone/Fax

Practice location:
  • Phone: 724-684-6000
  • Fax: 724-684-6010
Mailing address:
  • Phone: 724-684-6000
  • Fax: 724-684-6010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW ALLEN TEMOSHENKA
Title or Position: PRESIDENT
Credential: MPT
Phone: 724-684-6000