Provider Demographics
NPI:1467558981
Name:NAGY, LORI LYNNE (DPT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:LYNNE
Last Name:NAGY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 IRMC DR STE 120
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3674
Mailing Address - Country:US
Mailing Address - Phone:724-357-7068
Mailing Address - Fax:724-801-8556
Practice Address - Street 1:25 COLONY BLVD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-7971
Practice Address - Country:US
Practice Address - Phone:724-459-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008919L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA833783OtherHIGHMARK BLUE SHIELD
PA134933OtherHEALTH AMERICA/HEALTH AS.
PA7249649OtherAETNA - NON HMO
PA7249649OtherAETNA - NON HMO