Provider Demographics
NPI:1306809793
Name:REPKA, LORA LYNN (DPT)
Entity type:Individual
Prefix:MS
First Name:LORA
Middle Name:LYNN
Last Name:REPKA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:LORA
Other - Middle Name:LYNN
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:520 PELLIS RD
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4777
Mailing Address - Country:US
Mailing Address - Phone:724-850-7587
Mailing Address - Fax:724-850-9909
Practice Address - Street 1:72 FEDERAL DR
Practice Address - Street 2:SUITE 1
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3314
Practice Address - Country:US
Practice Address - Phone:412-241-3002
Practice Address - Fax:412-241-3741
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017528225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ58946Medicare UPIN
PA096697Medicare ID - Type Unspecified