Provider Demographics
NPI:1750629457
Name:BELFIORE, JEFFREY A (RPT)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:A
Last Name:BELFIORE
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 MARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-8531
Mailing Address - Country:US
Mailing Address - Phone:724-873-1244
Mailing Address - Fax:
Practice Address - Street 1:100 TANDEM VILLAGE RD
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2382
Practice Address - Country:US
Practice Address - Phone:724-743-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008372L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist