Provider Demographics
NPI:1497723175
Name:PRAXIS PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:PRAXIS PHYSICAL THERAPY, INC.
Other - Org Name:PHYSICAL THERAPY AND FITNESS SOLUTIONS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUZICH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:412-347-0022
Mailing Address - Street 1:6011 BAPTIST RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-347-0022
Mailing Address - Fax:412-347-0025
Practice Address - Street 1:6011 BAPTIST RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-347-0022
Practice Address - Fax:412-347-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherHEALTH AMERICA
396826Medicare ID - Type Unspecified