Provider Demographics
NPI:1841330792
Name:ASSOCIATES IN PHYSICAL MEDICINE AND REHABILITATION OF SW PA PC
Entity type:Organization
Organization Name:ASSOCIATES IN PHYSICAL MEDICINE AND REHABILITATION OF SW PA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:PLATTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-223-9270
Mailing Address - Street 1:240 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9697
Mailing Address - Country:US
Mailing Address - Phone:724-223-9270
Mailing Address - Fax:724-223-8133
Practice Address - Street 1:240 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9697
Practice Address - Country:US
Practice Address - Phone:724-223-9270
Practice Address - Fax:724-223-8133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043711E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA653998OtherHIGHMARK
PA120289500OtherDEPARTMENT OF LABOR
PA1500423OtherGATEWAY
PA0011814100006Medicaid
PA68282OtherMEDPLUS
PA182173401OtherUPMC FOR YOU
PA68282OtherMEDPLUS
PA120289500OtherDEPARTMENT OF LABOR