=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962878272
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PITTSBURGH PHYSICAL MEDICINE AND CHIROPRACTIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2015
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5916 PENN AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15206-3846
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-404-8337
-----------------------------------------------------
Fax | 412-404-8496
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5916 PENN AVE
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15206-3846
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-404-8337
-----------------------------------------------------
Fax | 412-404-8496
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PHYSICIAN
-----------------------------------------------------
Name | DR. JUSTIN JAMES FOLTZ
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 412-404-8337
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC010499
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------