Provider Demographics
NPI:1629011820
Name:SIRIANNI, JOHN JOSEPH (LICENSED PT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JOSEPH
Last Name:SIRIANNI
Suffix:
Gender:M
Credentials:LICENSED PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 RODI RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3318
Mailing Address - Country:US
Mailing Address - Phone:412-242-7880
Mailing Address - Fax:412-242-6040
Practice Address - Street 1:324 RODI RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3318
Practice Address - Country:US
Practice Address - Phone:412-242-7880
Practice Address - Fax:412-242-6040
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003286-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA467036PSBMedicare ID - Type Unspecified