Healthcare Provider Details

I. General information

NPI: 1164355137
Provider Name (Legal Business Name): LUKE HUSAK PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WONSETTLER RD
SCENERY HILL PA
15360-1863
US

IV. Provider business mailing address

370 AVON DR
PITTSBURGH PA
15228-2102
US

V. Phone/Fax

Practice location:
  • Phone: 724-200-7377
  • Fax:
Mailing address:
  • Phone: 412-877-7227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034299
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: