Healthcare Provider Details

I. General information

NPI: 1063453025
Provider Name (Legal Business Name): THERAPHYSICS PARTNERS OF WESTERN PA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W VIEW PARK DR WESTVIEW PLAZA
PITTSBURGH PA
15229-1785
US

IV. Provider business mailing address

665 PHILADELPHIA ST
INDIANA PA
15701-3941
US

V. Phone/Fax

Practice location:
  • Phone: 412-931-2850
  • Fax: 412-931-2736
Mailing address:
  • Phone: 724-465-3496
  • Fax: 724-465-3726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DENNIS FITZPATRICK
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 610-644-7824