Provider Demographics
NPI:1780631077
Name:BATTAGLINI, RICHARD (PT)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:BATTAGLINI
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 1:1265 WAYNE AVE STE 308
Mailing Address - Street 2:119 PROFESSINAL BUILDING
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3501
Mailing Address - Country:US
Mailing Address - Phone:724-801-8095
Mailing Address - Fax:724-801-8147
Practice Address - Street 1:60 STATE RD
Practice Address - Street 2:SUITE C
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1452
Practice Address - Country:US
Practice Address - Phone:610-892-7344
Practice Address - Fax:610-565-0500
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001501225100000X
MD25733225100000X
PAPT013499L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE2844946000OtherIBC
DEAC44-0023OtherCAREFIRST
PA0962113000OtherIBC
MD3211151Medicaid
1300966OtherHIGHMARK PABS
DE1780631077Medicaid
PA50108718OtherCAPITAL BC
PA1780631077OtherBRAVO
PA001874791Medicaid
PA058152VLZOtherMEDICARE
DEP00713330OtherRAILROAD MEDICARE
PAP00713327OtherRAILROAD MEDICARE
PA058152VLZOtherMEDICARE
DEAC44-0023OtherCAREFIRST
MD3211151Medicaid