Provider Demographics
NPI:1114953023
Name:HELTMAN, SHAWN (PT)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:HELTMAN
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 1:1 VETERANS WAY
Mailing Address - Street 2:SUITE G1
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-4403
Mailing Address - Country:US
Mailing Address - Phone:412-279-7700
Mailing Address - Fax:412-279-7741
Practice Address - Street 1:1 VETERANS WAY
Practice Address - Street 2:SUITE G1
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-4403
Practice Address - Country:US
Practice Address - Phone:412-279-7700
Practice Address - Fax:412-279-7741
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011236L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015935850012Medicaid
PA396610Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER