Provider Demographics
NPI:1790862530
Name:FRITZ, BRIAN JAMES (MPT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:JAMES
Last Name:FRITZ
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3277
Mailing Address - Country:US
Mailing Address - Phone:412-278-1221
Mailing Address - Fax:
Practice Address - Street 1:918 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-3277
Practice Address - Country:US
Practice Address - Phone:412-278-1221
Practice Address - Fax:412-278-0201
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0152582251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ19087Medicare UPIN
PA080686SWHMedicare PIN
PAFR080685Medicare ID - Type UnspecifiedGRP IN