Provider Demographics
NPI:1851312466
Name:MAARTMANN-MOE, CRAIG (DPT)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:
Last Name:MAARTMANN-MOE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9365 MCKNIGHT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5901
Mailing Address - Country:US
Mailing Address - Phone:412-630-9750
Mailing Address - Fax:412-630-9761
Practice Address - Street 1:9365 MCKNIGHT RD STE 300
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5901
Practice Address - Country:US
Practice Address - Phone:412-630-9750
Practice Address - Fax:412-630-9761
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017404225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013783480001Medicaid
PA1013783480001Medicaid