Randall S Lofgren, MPT
Individual provider Active NPI Physical Therapist · Munhall, PA
NPI 1366438830 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1366438830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015022 (PA)
- Practice address
- 2279B Main St
Munhall, PA 15120-2652 - Phone
- (412) 462-1191
- Fax
- (412) 462-1182
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Medical Management Services | Physical Therapist | Past | Accepting new patients |
| PT Group Acquisition LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015022 | PA | Yes |
Addresses
Primary practice location
2279B Main St
Munhall, PA 15120-2652
Mailing address
4609 Easy St
West Mifflin, PA 15122-1966
Phone (412) 462-1191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00276445 | Other | PA | RAILROAD MEDICARE |
| DA9531 | Other | PA | RAILROAD MEDICARE |
Other providers in Munhall, PA
- Allan Edward Kurucz
- Maria Kustra
- Nicole Kwolek
- Lucretia Ann Lenkner
- Matthew Lerch
- Joanna E Lopez
- Karen Maffeo
- Lisa Marie Magilson
- Amber Dawn Malanosky
- Rebecca Ann Mamrose
All providers in Munhall, 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 Apr 2, 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.