Healthcare Provider Details
I. General information
NPI: 1023289592
Provider Name (Legal Business Name): SHIRA E FEIGELSTEIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/12/2008
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
159 WATERDAM RD
MC MURRAY PA
15317-2576
US
IV. Provider business mailing address
339 S AIKEN AVE
PITTSBURGH PA
15232-1001
US
V. Phone/Fax
- Phone: 724-942-1511
- Fax: 724-942-1513
- Phone: 412-708-7266
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT-019151-L |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: