Provider Demographics
NPI:1487822417
Name:ABSOLUTE PRIMARY CARE
Entity Type:Organization
Organization Name:ABSOLUTE PRIMARY CARE
Other - Org Name:PATRIOT PHYSICAL THERAPY CRANBERRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORNAK
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:412-462-1191
Mailing Address - Street 1:20630 ROUTE 19
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6001
Mailing Address - Country:US
Mailing Address - Phone:724-779-2273
Mailing Address - Fax:
Practice Address - Street 1:20630 ROUTE 19
Practice Address - Street 2:SUITE 102
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6001
Practice Address - Country:US
Practice Address - Phone:724-779-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017392225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty