MEDICARE: RICHARD BELL WARDROP MS, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT005614L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	167394	OTHER	PA	THREE RIVERS
3	000762633	OTHER	PA	HIGHMARK BC/BS

General Provider Information

NPI Number	:	1225025695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD BELL WARDROP MS, PT

Provider Business Mailing Address
First Line	:	2746 KINGSTON DR
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1731
Country	:	US
Telephone Number	:	724-224-8717
Fax Number	:

Provider Business Practice Location Address
First Line	:	2746 KINGSTON DR
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1731
Country	:	US
Telephone Number	:	724-224-8717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	01/28/2011

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