Provider Demographics
NPI:1194057257
Name:KRUSHINSKI, BRAD MICHAEL (DPT)
Entity type:Individual
Prefix:
First Name:BRAD
Middle Name:MICHAEL
Last Name:KRUSHINSKI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2264
Mailing Address - Country:US
Mailing Address - Phone:412-386-3412
Mailing Address - Fax:412-683-3414
Practice Address - Street 1:5100 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2264
Practice Address - Country:US
Practice Address - Phone:412-386-3412
Practice Address - Fax:412-683-3414
Is Sole Proprietor?:No
Enumeration Date:2010-01-31
Last Update Date:2010-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist