Provider Demographics
NPI:1992905772
Name:FRITZ PHYSICAL THERAPY AND SPORTS MEDICINE, PLLC
Entity type:Organization
Organization Name:FRITZ PHYSICAL THERAPY AND SPORTS MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, CSCS
Authorized Official - Phone:412-278-1221
Mailing Address - Street 1:918 WASHINGTON AVE STE A15
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:412-278-0201
Practice Address - Street 1:918 WASHINGTON AVE STE A15
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001296133VN1006X
PAPT0152582251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ19087Medicare UPIN
PAFR080685Medicare PIN