MEDICARE: PHYSIOTHERAPY ASSOCIATES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225000000X	Orthotic Fitter
2	2251P0200X	Pediatric Physical Therapist
3	225700000X	Massage Therapist
4	225X00000X	Occupational Therapist
5	225XH1200X	Hand Occupational Therapist
6	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1891741880
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	:	717-972-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1371 E HECLA DR
Second Line	:	STE E
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-2327
Country	:	US
Telephone Number	:	303-665-6064
Fax Number	:	303-665-5493

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL E. TARVIN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	11/12/2018

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