Provider Demographics
NPI:1407819006
Name:STROZ, JOSEPH A (DPT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:STROZ
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 PARK PL
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1718
Mailing Address - Country:US
Mailing Address - Phone:814-509-6089
Mailing Address - Fax:888-650-1005
Practice Address - Street 1:419 PARK PL
Practice Address - Street 2:
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963-1718
Practice Address - Country:US
Practice Address - Phone:814-509-6089
Practice Address - Fax:888-650-1005
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014190L208100000X, 225100000X
PA2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010295800001Medicaid
PA083501R9XMedicare Oscar/Certification