Provider Demographics
NPI:1134185465
Name:URBANSKY, KEVIN E (PT)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:E
Last Name:URBANSKY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 GRANITE RUN DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6823
Mailing Address - Country:US
Mailing Address - Phone:717-560-4200
Mailing Address - Fax:717-560-4159
Practice Address - Street 1:703 LAMPETER RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-4013
Practice Address - Country:US
Practice Address - Phone:717-291-1881
Practice Address - Fax:717-293-9181
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00437652OtherMEDICARE-RAILROAD
PA119343D1XMedicare PIN