Provider Demographics
NPI:1306245089
Name:THE PHYSICAL THERAPY INSTITUTE
Entity type:Organization
Organization Name:THE PHYSICAL THERAPY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-223-2061
Mailing Address - Street 1:480 JOHNSON RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8936
Mailing Address - Country:US
Mailing Address - Phone:724-223-2061
Mailing Address - Fax:
Practice Address - Street 1:300 MAYTOWN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9314
Practice Address - Country:US
Practice Address - Phone:717-689-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000741794OtherHIGHMARK PT
PA02748000OtherCAPITAL BC/ BS