Provider Demographics
NPI:1053306514
Name:KINSINGER, JOSHUA L (PT)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:L
Last Name:KINSINGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BEACHLEY ST
Mailing Address - Street 2:
Mailing Address - City:MEYERSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15552-1222
Mailing Address - Country:US
Mailing Address - Phone:814-634-5373
Mailing Address - Fax:814-634-5380
Practice Address - Street 1:300 BEACHLEY ST
Practice Address - Street 2:
Practice Address - City:MEYERSDALE
Practice Address - State:PA
Practice Address - Zip Code:15552-1222
Practice Address - Country:US
Practice Address - Phone:814-634-5373
Practice Address - Fax:814-634-5380
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003047E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015783280-004Medicaid
MD549P126MMedicare PIN
PA062975Medicare ID - Type Unspecified