Organization
PATRIOT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BORNAK MPT (OWNER/PT)
(412) 462-2330
Entity
Organization
Contact information
Practice address
2279B MAIN STREET, MUNHALL, PA 15120
(412) 462-1191
(412) 462-1182
Mailing address
4609 EASY STREET, WEST MIFFLIN, PA 15122-1966
(412) 462-1191
(412) 462-1182
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA9531
RAILROAD MEDICARE
PA
01
—
PT016751
PHYSICAL THERAPIST
PA
Enumeration date
04/17/2006
Last updated
11/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us