Provider Demographics
NPI:1104199967
Name:AIR PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:AIR PHYSICAL THERAPY INC
Other - Org Name:AIR PHYSICAL THERAPY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:ZELCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:724-758-3338
Mailing Address - Street 1:1807 MERCER RD
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-3037
Mailing Address - Country:US
Mailing Address - Phone:724-758-3338
Mailing Address - Fax:724-752-8878
Practice Address - Street 1:1807 MERCER RD
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-3037
Practice Address - Country:US
Practice Address - Phone:724-758-3338
Practice Address - Fax:724-752-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA002691980OtherPA HIGHMARK
PA239838OtherMEDICARE PTAN