Provider Demographics
NPI:1447464417
Name:APPROPRIATE PHYSICAL THERAPY SERVICES LLC
Entity type:Organization
Organization Name:APPROPRIATE PHYSICAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KOTYK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:724-745-5646
Mailing Address - Street 1:153 E PIKE ST
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-1765
Mailing Address - Country:US
Mailing Address - Phone:724-745-5646
Mailing Address - Fax:724-745-6062
Practice Address - Street 1:153 E PIKE ST
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1765
Practice Address - Country:US
Practice Address - Phone:724-745-5646
Practice Address - Fax:724-745-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-009765-L261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11513356OtherCAQH
PAAP 177 5450OtherHIGHMARK GROUP PROVIDER N
PA1279105OtherAETNA HMO POS
PA5139764OtherAETNA PPO PRODUCTS PIN
PAPT-009765-LOtherPA STATE PT LICENSE
PA5139764OtherAETNA PPO PRODUCTS PIN