Provider Demographics
NPI:1154317519
Name:HALAT PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:HALAT PHYSICAL THERAPY, INC.
Other - Org Name:PHYSICAL THERAPY ASSOCIATES OF MANHEIM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALAT
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS
Authorized Official - Phone:717-664-4980
Mailing Address - Street 1:107 W END DR
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-9320
Mailing Address - Country:US
Mailing Address - Phone:717-664-4980
Mailing Address - Fax:717-664-4981
Practice Address - Street 1:107 W END DR
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-9320
Practice Address - Country:US
Practice Address - Phone:717-664-4980
Practice Address - Fax:717-664-4981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02612500OtherCAPITAL BLUE CROSS
PA3000345OtherKEYSTONE HEALTH PLAN
PA834162OtherHIGHMARK BLUE SHIELD
PA067045Medicare ID - Type Unspecified