Provider Demographics
NPI:1023673027
Name:RIDGEVIEW PHYSICAL THERAPY & WELLNESS CENTER LLC
Entity type:Organization
Organization Name:RIDGEVIEW PHYSICAL THERAPY & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:TORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, ATC, OCS
Authorized Official - Phone:412-605-2715
Mailing Address - Street 1:130 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-5506
Mailing Address - Country:US
Mailing Address - Phone:412-605-2715
Mailing Address - Fax:
Practice Address - Street 1:200 OLD POND RD STE 106
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1269
Practice Address - Country:US
Practice Address - Phone:412-605-2715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty