Provider Demographics
NPI:1073566121
Name:TUSCAN, AARON C (DPT)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:C
Last Name:TUSCAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 PELLIS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7900
Mailing Address - Country:US
Mailing Address - Phone:724-850-7587
Mailing Address - Fax:724-850-8329
Practice Address - Street 1:542 RUGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5623
Practice Address - Country:US
Practice Address - Phone:724-216-9116
Practice Address - Fax:724-219-3652
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT010077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2390710Medicaid
PA20773180OtherHIGHMARK
OHPT010077OtherPHYSICAL THERAPY LICENSE
PA137979UY6Medicare PIN
PA20773180OtherHIGHMARK