Provider Demographics
NPI:1598331399
Name:ON POINT PHYSICAL & OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:ON POINT PHYSICAL & OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-878-9354
Mailing Address - Street 1:110 PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-3348
Mailing Address - Country:US
Mailing Address - Phone:570-878-9354
Mailing Address - Fax:
Practice Address - Street 1:110 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-3348
Practice Address - Country:US
Practice Address - Phone:570-878-9354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty