Provider Demographics
NPI:1164625992
Name:BITTNER, DEENA MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:DEENA
Middle Name:MARIE
Last Name:BITTNER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DEENA
Other - Middle Name:MARIE
Other - Last Name:NIIGRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8205 PRESIDENTS DR
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8621
Mailing Address - Country:US
Mailing Address - Phone:717-566-5025
Mailing Address - Fax:717-566-5026
Practice Address - Street 1:8205 PRESIDENTS DR
Practice Address - Street 2:1ST FLOOR
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8621
Practice Address - Country:US
Practice Address - Phone:717-566-5025
Practice Address - Fax:717-566-5026
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017042225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA177124OtherMEDICARE HGS ADMINISTRATO
PA18444OtherHEALTH AMERICA
PA332313OtherHIGHMARK BLUE SHIELD
PA03182100OtherCAPITAL BLUE CROSS
PACK4276OtherPALMETTO GBA RR MEDICARE
PA0068377000OtherAMERIHEALTH UNDER IBC
PA0197900001Medicare NSC