Provider Demographics
NPI:1750481057
Name:FAMILY PHYSICAL THERAPY OF WESTERN PENNSYLVANIA, INC.
Entity Type:Organization
Organization Name:FAMILY PHYSICAL THERAPY OF WESTERN PENNSYLVANIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SMALDINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-482-4111
Mailing Address - Street 1:104 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1801
Mailing Address - Country:US
Mailing Address - Phone:724-482-0111
Mailing Address - Fax:724-482-4859
Practice Address - Street 1:104 TECHNOLOGY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1801
Practice Address - Country:US
Practice Address - Phone:724-482-0111
Practice Address - Fax:724-482-4859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty