Healthcare Provider Details

I. General information

NPI: 1083750822
Provider Name (Legal Business Name): JENNIFER ELAINE RITTER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 FREEPORT RD 200 BUILDING, SUITE 4000
PITTSBURGH PA
15215-3301
US

IV. Provider business mailing address

212 MALLARD DR
MONROEVILLE PA
15146-1144
US

V. Phone/Fax

Practice location:
  • Phone: 412-784-5010
  • Fax:
Mailing address:
  • Phone: 412-372-0328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT001341E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: