Provider Demographics
NPI:1104893585
Name:MARKOWITZ, JANIS (PT)
Entity type:Individual
Prefix:MRS
First Name:JANIS
Middle Name:
Last Name:MARKOWITZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JANIS
Other - Middle Name:M
Other - Last Name:LANGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1262 WOOD LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1769
Mailing Address - Country:US
Mailing Address - Phone:215-741-9315
Mailing Address - Fax:
Practice Address - Street 1:1262 WOOD LN
Practice Address - Street 2:SUITE 102
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1769
Practice Address - Country:US
Practice Address - Phone:215-741-9315
Practice Address - Fax:215-741-9317
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017219225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012086890001Medicaid
PA1012086890001Medicaid