Provider Demographics
NPI:1134670987
Name:ROMESBURG PHYSICAL THERAPY & SPORTS FITNESS
Entity type:Organization
Organization Name:ROMESBURG PHYSICAL THERAPY & SPORTS FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMESBURG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:724-986-3760
Mailing Address - Street 1:622 MALONE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9359
Mailing Address - Country:US
Mailing Address - Phone:724-986-3760
Mailing Address - Fax:
Practice Address - Street 1:622 MALONE RIDGE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9359
Practice Address - Country:US
Practice Address - Phone:724-986-3760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018810261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy