Provider Demographics
NPI:1013961697
Name:HARTZ PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:HARTZ PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:717-625-2228
Mailing Address - Street 1:100 HIGHLANDS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7693
Mailing Address - Country:US
Mailing Address - Phone:717-625-2228
Mailing Address - Fax:717-625-0959
Practice Address - Street 1:100 HIGHLANDS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7693
Practice Address - Country:US
Practice Address - Phone:717-625-2228
Practice Address - Fax:717-625-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA049946Medicare ID - Type Unspecified
PA020560PZNMedicare PIN