Provider Demographics
NPI:1811093990
Name:BARTO, MELISSA (MS, PT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:BARTO
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 INNOVATION DRIVE
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-8096
Mailing Address - Country:US
Mailing Address - Phone:724-343-4060
Mailing Address - Fax:724-343-4069
Practice Address - Street 1:123 W ACADEMY ST
Practice Address - Street 2:
Practice Address - City:HUGHESVILLE
Practice Address - State:PA
Practice Address - Zip Code:17737-1316
Practice Address - Country:US
Practice Address - Phone:570-584-2772
Practice Address - Fax:570-584-2446
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012891L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA267696OtherHEALTH AMERICA/HEALTH AS.
PA50054050OtherCAPITAL/KHPC
PA7637812OtherAETNA - NON HMO
PA1106100OtherAETNA - HMO
PA819634OtherBCNE/FPH
PABA1767964OtherHIGHMARK BLUE SHIELD
PA819634OtherBCNE/FPH