MEDICARE: MATTHEW RUSKAY

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	PT007172L	PA

General Provider Information

NPI Number	:	1265481808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW RUSKAY

Provider Business Mailing Address
First Line	:	130 KAREN DR
Second Line	:
City	:	ELIZABETH
State	:	PA
Zip	:	15037-2405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-2419
Country	:	US
Telephone Number	:	412-678-7545
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	06/15/2021

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