Provider Demographics
NPI:1427290808
Name:HINTEMEYER, CAROL M (MPT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:HINTEMEYER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TOWNE SQUARE WAY
Mailing Address - Street 2:SUITE 281
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3259
Mailing Address - Country:US
Mailing Address - Phone:412-882-4140
Mailing Address - Fax:412-882-8331
Practice Address - Street 1:101 TOWNE SQUARE WAY
Practice Address - Street 2:SUITE 281
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3259
Practice Address - Country:US
Practice Address - Phone:412-882-4140
Practice Address - Fax:412-882-8331
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1343628OtherHIGHMARK
PA1343628OtherHIGHMARK