Marc Federico PT LLC
Organization Active NPI Physical Therapist · Youngwood, PA
NPI 1295745644 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1295745644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT008417L (PA)
- Legal business name
- MARC FEDERICO PT LLC
- Practice address
- 621 South Fifth Street
Suite B
Youngwood, PA 15697 - Phone
- (724) 925-6260
- Fax
- (724) 925-6260
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Marc Stephen Federico, PT DPT
- Title
- Physical Therapist
- Phone
- (724) 925-6260
Practitioners 1
-
Marc S Federico, PT, DPT
National Provider Directory
Locations
621 S 5th St
#B
Youngwood, PA 15697
Phone (724) 925-6260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT008417L | PA | Yes |
Addresses
Primary practice location
621 South Fifth Street
Suite B
Youngwood, PA 15697
Mailing address
621 South Fifth Street
Suite B
Youngwood, PA 15697
Phone (724) 925-6260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1784124 | Other | PA | HIGHMARK |
| 431807 | Other | PA | HEALTH AMERICA |
| 1235671 | Other | PA | AETNA US HEALTHCARE |
Other names
- Marc Federico Sole MBR
Other providers in Youngwood, PA
- Homewell Senior Care-Westmoreland County
- Innovative Wellness and Weight Loss Center
- Stephen Kelly
- Larry D Long
- Michel Luise Maiers
- Maria Kimmel Marquette
- Steven E. Mills
- David Mondock
- Alex Daniel Morgan
- Buffy Lynn Myers
All providers in Youngwood, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.