Provider Demographics
NPI:1982050019
Name:GERHART, STEVEN TAYLOR (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:TAYLOR
Last Name:GERHART
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 HORSESHOE TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-8706
Mailing Address - Country:US
Mailing Address - Phone:717-701-1233
Mailing Address - Fax:
Practice Address - Street 1:505 JIM CALHOUN WAY
Practice Address - Street 2:
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06268-1728
Practice Address - Country:US
Practice Address - Phone:860-992-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-07
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARTO0002382255A2300X
CT0010362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer