Provider Demographics
NPI:1154347722
Name:ALDEN PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:ALDEN PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-337-9535
Mailing Address - Street 1:764 BESSEMER ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-1862
Mailing Address - Country:US
Mailing Address - Phone:814-337-9535
Mailing Address - Fax:814-337-8140
Practice Address - Street 1:764 BESSEMER ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-1862
Practice Address - Country:US
Practice Address - Phone:814-337-9535
Practice Address - Fax:814-337-8140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA507237OtherHIGHMARK
PA396718Medicare Oscar/Certification