Provider Demographics
NPI:1194061853
Name:MARKOWITZ, STUART ADAM (MSPT)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:ADAM
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 COVENTRY RD
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2972
Mailing Address - Country:US
Mailing Address - Phone:215-716-3224
Mailing Address - Fax:
Practice Address - Street 1:229 COVENTRY RD
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2972
Practice Address - Country:US
Practice Address - Phone:215-716-3224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-27
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT005491225100000X
PAPT017233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist