Provider Demographics
NPI:1447349865
Name:ADVANTAGE THERAPY & REHABILITATION INC
Entity type:Organization
Organization Name:ADVANTAGE THERAPY & REHABILITATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TILBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-831-1220
Mailing Address - Street 1:5141 BRIGHTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2743
Mailing Address - Country:US
Mailing Address - Phone:412-831-1220
Mailing Address - Fax:412-831-1663
Practice Address - Street 1:5141 BRIGHTWOOD RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2743
Practice Address - Country:US
Practice Address - Phone:412-831-1220
Practice Address - Fax:412-831-1663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
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
PA482836OtherHIGHMARK
PA482836OtherHIGHMARK