Provider Demographics
NPI:1225038300
Name:DENT, ROBERT JOSEPH (MS, MPT, ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:DENT
Suffix:
Gender:M
Credentials:MS, MPT, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15144-1409
Mailing Address - Country:US
Mailing Address - Phone:724-275-7827
Mailing Address - Fax:724-275-7749
Practice Address - Street 1:507 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:PA
Practice Address - Zip Code:15144-1409
Practice Address - Country:US
Practice Address - Phone:724-275-7827
Practice Address - Fax:724-275-7749
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009189L2251X0800X
PADAPT000647225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100750540-0004Medicaid
PA678709PMFMedicare ID - Type UnspecifiedMEDICARE PROVIDER #