Provider Demographics
NPI:1649266743
Name:PONTERIO, BARBARA J (OTR/L)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:PONTERIO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BARARA
Other - Middle Name:J
Other - Last Name:TENNENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1062 SAYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-1155
Mailing Address - Country:US
Mailing Address - Phone:724-853-8466
Mailing Address - Fax:724-838-8634
Practice Address - Street 1:100 FREEDOM WAY
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9245
Practice Address - Country:US
Practice Address - Phone:724-853-8466
Practice Address - Fax:724-838-8634
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002318L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1382478OtherHIGHMARK
058246Medicare ID - Type Unspecified