Provider Demographics
NPI:1396745477
Name:WHITE, PATRICIA BURWINKEL (MPT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:BURWINKEL
Last Name:WHITE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13049 FRANKSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PENN HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1952
Mailing Address - Country:US
Mailing Address - Phone:412-798-7827
Mailing Address - Fax:412-798-4397
Practice Address - Street 1:13049 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-1952
Practice Address - Country:US
Practice Address - Phone:412-798-7827
Practice Address - Fax:412-798-4397
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT000646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP48929Medicare UPIN
PA054272PMFMedicare ID - Type UnspecifiedMEDICARE PROVIDER #