Healthcare Provider Details

I. General information

NPI: 1508354952
Provider Name (Legal Business Name): ALENA MAE ESPOSITO PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5738 FORBES AVE
PITTSBURGH PA
15217-1563
US

IV. Provider business mailing address

5738 FORBES AVE
PITTSBURGH PA
15217-1563
US

V. Phone/Fax

Practice location:
  • Phone: 412-697-3505
  • Fax: 412-339-5455
Mailing address:
  • Phone: 412-697-3505
  • Fax: 412-339-5455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT026701
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: