Provider Demographics
NPI:1780738633
Name:PLATTO, MICHAEL J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:PLATTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TRICH DR STE 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-5989
Mailing Address - Country:US
Mailing Address - Phone:724-223-9270
Mailing Address - Fax:724-223-8133
Practice Address - Street 1:101 TRICH DR STE 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-5989
Practice Address - Country:US
Practice Address - Phone:724-223-9270
Practice Address - Fax:724-223-8133
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043711E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102119OtherUPMC FOR YOU
PAMD043711EMedicaid
PAPL486902Medicare ID - Type Unspecified
PA102119OtherUPMC FOR YOU