MEDICARE: ERICA MARIE CIMADOR 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	PT007730L	PA

General Provider Information

NPI Number	:	1689708075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA MARIE CIMADOR PT

Provider Business Mailing Address
First Line	:	405 W PEARL ST
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-4200
Country	:	US
Telephone Number	:	412-874-3562
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 RENAISSANCE DR STE 103
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-7612
Country	:	US
Telephone Number	:	412-874-3562
Fax Number	:

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	03/11/2025

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