Provider Demographics
NPI:1841281698
Name:PREFERRED PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:PREFERRED PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:CORSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-285-5546
Mailing Address - Street 1:1615B N MAIN STREET EXT
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1512
Mailing Address - Country:US
Mailing Address - Phone:724-285-5546
Mailing Address - Fax:724-285-3883
Practice Address - Street 1:1615B N MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1512
Practice Address - Country:US
Practice Address - Phone:724-285-5546
Practice Address - Fax:724-285-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA895009OtherHIGHMARK
3981623OtherAETNA
088890Medicare ID - Type Unspecified