Provider Demographics
NPI:1851345292
Name:ERB PHYSICAL THERAPY P.C.
Entity Type:Organization
Organization Name:ERB PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ERB
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:412-882-4140
Mailing Address - Street 1:101 TOWNESQUARE WAY
Mailing Address - Street 2:SUITE 281
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3259
Mailing Address - Country:US
Mailing Address - Phone:412-882-4140
Mailing Address - Fax:412-882-8331
Practice Address - Street 1:101 TOWNESQUARE WAY
Practice Address - Street 2:SUITE 281
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3259
Practice Address - Country:US
Practice Address - Phone:412-882-4140
Practice Address - Fax:412-882-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1343628OtherHIGHMARK
PA059193Medicare ID - Type Unspecified