Provider Demographics
NPI:1821133307
Name:SCHAFER PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:SCHAFER PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHAFER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:412-257-0314
Mailing Address - Street 1:3249 WASHINGTON PIKE STE 1102
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1461
Mailing Address - Country:US
Mailing Address - Phone:412-257-0314
Mailing Address - Fax:412-257-0317
Practice Address - Street 1:3249 WASHINGTON PIKE STE 1102
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1461
Practice Address - Country:US
Practice Address - Phone:412-257-0314
Practice Address - Fax:412-257-0317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA266038OtherHEALTHAMERICA GRP#
PA6431559OtherCIGNA PROV#
PA1753095OtherHIGHMARK BCBS GRP#
PA6431559OtherCIGNA PROV#
PA1753095OtherHIGHMARK BCBS GRP#