Healthcare Provider Details

I. General information

NPI: 1679256051
Provider Name (Legal Business Name): ERIN SANTOS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 ARDMORE BLVD STE 100
PITTSBURGH PA
15221-4468
US

IV. Provider business mailing address

400 OLD MILL RD APT 305
OAKDALE PA
15071-3876
US

V. Phone/Fax

Practice location:
  • Phone: 412-271-8347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT031614
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: