Provider Demographics
NPI:1316053150
Name:HORGAN-PISARSKI, LYNN MARIE (PT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:MARIE
Last Name:HORGAN-PISARSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1903
Mailing Address - Country:US
Mailing Address - Phone:724-887-6615
Mailing Address - Fax:724-887-6614
Practice Address - Street 1:125 MARKET ST
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:PA
Practice Address - Zip Code:15683-1903
Practice Address - Country:US
Practice Address - Phone:724-887-6615
Practice Address - Fax:724-887-6614
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA008888L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100581VB0Medicare PIN