Healthcare Provider Details

I. General information

NPI: 1932752631
Provider Name (Legal Business Name): POSITIVE STEPS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12620 PERRY HWY
WEXFORD PA
15090-8662
US

IV. Provider business mailing address

5316 WILLIAM FLYNN HWY
GIBSONIA PA
15044-9697
US

V. Phone/Fax

Practice location:
  • Phone: 724-933-6677
  • Fax: 724-933-6674
Mailing address:
  • Phone: 724-444-5333
  • Fax: 724-444-5335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CHERYL LYNN HAIBACH
Title or Position: PRESIDENT
Credential: PT
Phone: 724-444-5333