Provider Demographics
NPI:1245907120
Name:ROJTAS, TYRA (DPT)
Entity type:Individual
Prefix:
First Name:TYRA
Middle Name:
Last Name:ROJTAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:TYRA
Other - Middle Name:
Other - Last Name:ABDALLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2600 OLD WASHINGTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2589
Mailing Address - Country:US
Mailing Address - Phone:412-206-9202
Mailing Address - Fax:412-963-7499
Practice Address - Street 1:2600 OLD WASHINGTON RD STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2589
Practice Address - Country:US
Practice Address - Phone:412-206-9202
Practice Address - Fax:412-963-7499
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029895225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist