Provider Demographics
NPI:1417297268
Name:MASANGCAY, PETER ROEL GUINTO (DPT)
Entity Type:Individual
Prefix:MR
First Name:PETER ROEL
Middle Name:GUINTO
Last Name:MASANGCAY
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 1:1927 READING AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-2026
Mailing Address - Country:US
Mailing Address - Phone:484-948-5920
Mailing Address - Fax:
Practice Address - Street 1:1927 READING AVE
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-2026
Practice Address - Country:US
Practice Address - Phone:484-948-5920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist