NPI Code Details Logo

NPI 1043214455

NPI 1043214455 : PHYSICAL REHABILITATION SERVICES INC : PITTSBURGH, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1043214455
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PHYSICAL REHABILITATION SERVICES INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/13/2005
-----------------------------------------------------
    Last Update Date     |    11/18/2014
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1033 PERRY HWY 
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15237-2123
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-366-3880
-----------------------------------------------------
    Fax                  |    412-366-7655
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1033 PERRY HWY 
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15237-2123
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-366-3880
-----------------------------------------------------
    Fax                  |    412-366-7655
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/DIRECTOR
-----------------------------------------------------
    Name                 |    MR. BILLY E. BUTCH 
-----------------------------------------------------
    Credential           |    PT, MS, ATC
-----------------------------------------------------
    Telephone            |    412-366-3880
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.