MEDICARE: ANNA PROKITY PT, DPT

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	PT028750	PA

General Provider Information

NPI Number	:	1316558687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA PROKITY PT, DPT

Provider Business Mailing Address
First Line	:	1954 W LIBERTY RD
Second Line	:
City	:	BETHANY
State	:	WV
Zip	:	26032-2083
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BRADDOCK ROAD AVE
Second Line	:
City	:	MOUNT PLEASANT
State	:	PA
Zip	:	15666-1458
Country	:	US
Telephone Number	:	724-547-6090
Fax Number	:

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

Provider Enumeration Date	:	08/11/2020
Last Update Date	:	08/11/2020

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Directions to “ ANNA PROKITY PT, DPT” Practice Location

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