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NPI Code Detail

MEDICARE: PHYSIOTHERAPY ASSOCIATES, INC.

MEDICARE: PHYSIOTHERAPY ASSOCIATES, INC.
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
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist
4261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1356976005
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSIOTHERAPY ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2400 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-3936
Country : US
Telephone Number : 773-389-2201
Fax Number : 773-389-2203
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL TARVIN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 03/03/2020
Last Update Date : 09/14/2020

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Directions to “PHYSIOTHERAPY ASSOCIATES, INC. ” Practice Location

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