Provider Demographics
NPI:1225791528
Name:PELVIC ALIGN PT
Entity Type:Organization
Organization Name:PELVIC ALIGN PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATHER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:724-968-7968
Mailing Address - Street 1:715 MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-2854
Mailing Address - Country:US
Mailing Address - Phone:724-968-7968
Mailing Address - Fax:
Practice Address - Street 1:7031 CRIDER RD
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2385
Practice Address - Country:US
Practice Address - Phone:724-968-7968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy