Provider Demographics
NPI:1255350286
Name:METRO ORTHOPEDIC PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:METRO ORTHOPEDIC PHYSICAL THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DSC, ECS
Authorized Official - Phone:412-787-3293
Mailing Address - Street 1:105 PEBBLE CT
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1083
Mailing Address - Country:US
Mailing Address - Phone:412-787-3293
Mailing Address - Fax:412-787-1821
Practice Address - Street 1:116 INTERSTATE PKWY STE 32
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-1036
Practice Address - Country:US
Practice Address - Phone:412-787-3293
Practice Address - Fax:412-787-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000789E2251E1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, ClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA695158OtherHIGHMARK
PA0111196OtherAETNA USHEALTHCARE
PA001572146Medicaid
PA325673Medicare PIN