Provider Demographics
NPI:1750127023
Name:UNDEFEATED PHYSICAL THERAPY AND PERFORMANCE LLC
Entity type:Organization
Organization Name:UNDEFEATED PHYSICAL THERAPY AND PERFORMANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:JANSANTE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CSCS
Authorized Official - Phone:412-627-2131
Mailing Address - Street 1:2100 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2134
Mailing Address - Country:US
Mailing Address - Phone:412-627-2131
Mailing Address - Fax:
Practice Address - Street 1:2100 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2134
Practice Address - Country:US
Practice Address - Phone:412-627-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy