Provider Demographics
NPI:1215002845
Name:STEEL VALLEY PHYSICAL THERAPY
Entity Type:Organization
Organization Name:STEEL VALLEY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KREGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-469-1660
Mailing Address - Street 1:1200 BROOKS LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3747
Mailing Address - Country:US
Mailing Address - Phone:412-460-8333
Mailing Address - Fax:412-460-8334
Practice Address - Street 1:1200 BROOKS LN
Practice Address - Street 2:SUITE 210
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3747
Practice Address - Country:US
Practice Address - Phone:412-460-8333
Practice Address - Fax:412-460-8334
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEEL VALLEY ORTHOPEDIC ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-21
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC12858OtherRAILROAD MEDICARE
PA021962Medicare ID - Type Unspecified