Provider Demographics
NPI:1568461861
Name:TAMOSAUSKAS, RONA (PT)
Entity Type:Individual
Prefix:
First Name:RONA
Middle Name:
Last Name:TAMOSAUSKAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 TIFFANY RDG
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3236
Mailing Address - Country:US
Mailing Address - Phone:412-777-6231
Mailing Address - Fax:412-777-6528
Practice Address - Street 1:30 HECKEL RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1652
Practice Address - Country:US
Practice Address - Phone:412-777-6231
Practice Address - Fax:412-777-6528
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007864L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA849169OtherHIGHMARK
PA849169OtherHIGHMARK
PAS97559Medicare UPIN