Provider Demographics
NPI:1265530810
Name:FOLEY, NANCY C (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:C
Last Name:FOLEY
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 W MCINTYRE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7101 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2433
Practice Address - Country:US
Practice Address - Phone:412-877-4117
Practice Address - Fax:412-345-8140
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010187L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017625700004Medicaid
WV1060582OtherWORKERS' COMP
PA0965277OtherHIGHMARK
PA1513772OtherGATEWAY
WV1060582OtherWORKERS' COMP