Provider Demographics
| NPI: | 1891774014 |
|---|---|
| Name: | SENSKY, HEIDI J (PT) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | HEIDI |
| Middle Name: | J |
| Last Name: | SENSKY |
| Suffix: | |
| Gender: | F |
| Credentials: | PT |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 4 GREENVILLE ORTHOPEDIC CTR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GREENVILLE |
| Mailing Address - State: | PA |
| Mailing Address - Zip Code: | 16125-1210 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 724-588-9680 |
| Mailing Address - Fax: | 724-588-9697 |
| Practice Address - Street 1: | 4 GREENVILLE ORTHOPEDIC CTR |
| Practice Address - Street 2: | |
| Practice Address - City: | GREENVILLE |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 16125-1210 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 724-588-9680 |
| Practice Address - Fax: | 724-588-9697 |
| Is Sole Proprietor?: | Not Answered |
| Enumeration Date: | 2006-01-16 |
| Last Update Date: | 2007-07-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| PA | PT-007033-L | 225100000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PA | 007646 | Other | HIGHMARK |
| PA | 0017713370001 | Medicaid | |
| PA | 007646 | Other | HIGHMARK |
| PA | 023919 | Medicare ID - Type Unspecified |