Provider Demographics
NPI:1619921319
Name:ERB, KEITH V (PT)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:V
Last Name:ERB
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 1:101 TOWNESQUARE WAY
Mailing Address - Street 2:SUITE 281
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3259
Mailing Address - Country:US
Mailing Address - Phone:412-882-4140
Mailing Address - Fax:412-882-8331
Practice Address - Street 1:101 TOWNESQUARE WAY
Practice Address - Street 2:SUITE 281
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3259
Practice Address - Country:US
Practice Address - Phone:412-882-4140
Practice Address - Fax:412-882-8331
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002018L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA122308OtherHIGHMARK
PA047666QQ4Medicare ID - Type Unspecified