Provider Demographics
NPI:1770518961
Name:TORRIS, HEATHER R (PT, DPT, ATC, OCS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:R
Last Name:TORRIS
Suffix:
Gender:F
Credentials:PT, DPT, ATC, OCS
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:R
Other - Last Name:MAGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-5506
Mailing Address - Country:US
Mailing Address - Phone:412-605-2715
Mailing Address - Fax:
Practice Address - Street 1:130 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-5506
Practice Address - Country:US
Practice Address - Phone:412-605-2715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006488225100000X
PAPT018112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
109672Medicare PIN