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Organization
ALLEGHENY & CHESAPEAKE PHYSICAL THERAPISTS INC
Active
Organization
ALLEGHENY & CHESAPEAKE PHYSICAL THERAPISTS INC
Active
Other names
Pivot Physical Therapy of Western Pennsylvnaia
Organization subpart
No
Provider details
NPI number
Authorized official
TASHEDA BROUGHTON PESC (CRED MANAGER)
(252) 248-3313
Entity
Organization
Contact information
Practice address
5770 BAUM BLVD STE 100, PITTSBURGH, PA 15206
(412) 661-0400
(412) 661-1803
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(252) 248-3313
(410) 678-4878
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001478369
—
PA
01
—
13591
HEALTH AMERICA
PA
01
—
1500905
GATEWAY
PA
01
—
396539
BUREAU OF WORKERS COMP
PA
01
—
80420
AETNA
PA
Enumeration date
06/11/2006
Last updated
12/03/2024
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