Provider Demographics
NPI:1336615020
Name:LITTLE STEPS PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:LITTLE STEPS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRECKENGOST
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:814-440-6089
Mailing Address - Street 1:3505 TANAGER DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-1135
Mailing Address - Country:US
Mailing Address - Phone:814-440-6089
Mailing Address - Fax:
Practice Address - Street 1:3505 TANAGER DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1135
Practice Address - Country:US
Practice Address - Phone:814-440-6089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty