Provider Demographics
NPI:1598733263
Name:TARDIO, ANTHONY A (PT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:A
Last Name:TARDIO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1887
Mailing Address - Country:US
Mailing Address - Phone:724-327-7099
Mailing Address - Fax:724-327-0173
Practice Address - Street 1:1000 INTEGRITY DR
Practice Address - Street 2:SUITE 240
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3332
Practice Address - Country:US
Practice Address - Phone:412-241-0620
Practice Address - Fax:412-241-0670
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005993L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396676Medicare Oscar/Certification