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General NPI Number Information
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NPI Number | 1184507147
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Entity Type | Organization
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Legal Business Name | HARTEIS PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 128 W HIGH ST
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City | EBENSBURG
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State | PA
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Zip | 15931-1539
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Country | US
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Telephone | 814-525-9768
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Fax |
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Provider Business Mailing Address
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Address Line | 4903 LUCERNE RD
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City | INDIANA
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State | PA
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Zip | 15701-6000
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Country | US
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Telephone | 814-525-9768
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. BLAINE HARTEIS
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Credential | DPT
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Telephone | 814-525-9768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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