Healthcare Provider Details

I. General information

NPI: 1215395884
Provider Name (Legal Business Name): MATTHEW VARCA PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 GALLERY DR
MC MURRAY PA
15317-2690
US

IV. Provider business mailing address

130 GALLERY DR
MC MURRAY PA
15317-2690
US

V. Phone/Fax

Practice location:
  • Phone: 725-973-3488
  • Fax:
Mailing address:
  • Phone: 724-941-5340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT032161
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierPT032161
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerPHYSICAL THERAPY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: