Provider Demographics
NPI:1447329347
Name:OAKMONT ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY CENTER PC
Entity type:Organization
Organization Name:OAKMONT ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-826-2344
Mailing Address - Street 1:527 CEDAR WAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2068
Mailing Address - Country:US
Mailing Address - Phone:412-826-2344
Mailing Address - Fax:412-826-8350
Practice Address - Street 1:527 CEDAR WAY
Practice Address - Street 2:SUITE 105
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2068
Practice Address - Country:US
Practice Address - Phone:412-826-2344
Practice Address - Fax:412-826-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA109672Medicare PIN