Healthcare Provider Details

I. General information

NPI: 1619601481
Provider Name (Legal Business Name): SUMMIT PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WILHAVEN RD STE 100
MC MURRAY PA
15317-3094
US

IV. Provider business mailing address

414 PENCO RD
WEIRTON WV
26062-3822
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-3727
  • Fax: 724-941-3761
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

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

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: EVP
Credential:
Phone: 713-297-7000