Healthcare Provider Details

I. General information

NPI: 1962878272
Provider Name (Legal Business Name): PITTSBURGH PHYSICAL MEDICINE AND CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5916 PENN AVE
PITTSBURGH PA
15206-3846
US

IV. Provider business mailing address

5916 PENN AVE
PITTSBURGH PA
15206-3846
US

V. Phone/Fax

Practice location:
  • Phone: 412-404-8337
  • Fax: 412-404-8496
Mailing address:
  • Phone: 412-404-8337
  • Fax: 412-404-8496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC010499
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JUSTIN JAMES FOLTZ
Title or Position: OWNER/PHYSICIAN
Credential: DC
Phone: 412-404-8337