Provider Demographics
NPI:1215916457
Name:VTIPIL, DARREN J (PT)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:J
Last Name:VTIPIL
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:301 1ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4756
Mailing Address - Country:US
Mailing Address - Phone:724-282-4764
Mailing Address - Fax:724-282-6624
Practice Address - Street 1:507 PITTSBURGH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SPRINGDALE
Practice Address - State:PA
Practice Address - Zip Code:15144-1409
Practice Address - Country:US
Practice Address - Phone:724-275-7827
Practice Address - Fax:724-275-7749
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2016-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT016984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA080857HBGMedicare ID - Type Unspecified