Provider Demographics
NPI:1619959160
Name:RABATIN, ROBERT JAMES (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
Last Name:RABATIN
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E PLANK RD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4154
Mailing Address - Country:US
Mailing Address - Phone:814-941-7708
Mailing Address - Fax:914-941-7715
Practice Address - Street 1:119 FOLLMAR LN
Practice Address - Street 2:SUITE A
Practice Address - City:ALUM BANK
Practice Address - State:PA
Practice Address - Zip Code:15521-8262
Practice Address - Country:US
Practice Address - Phone:814-839-2783
Practice Address - Fax:814-839-2876
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013758L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA813521OtherHIGHMARK
PA046777PRYMedicare ID - Type Unspecified
P28586Medicare UPIN