Madelyn Gentile, PT
Individual provider Active NPI Physical Therapist · Upper St Clair, PA
NPI 1427768787 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1427768787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT030871 (PA)
- Practice address
- 1290 Boyce Rd
Upper St Clair, PA 15241-3921 - Phone
- (724) 941-3100
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT030871 | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT030871 | PA | Yes |
Addresses
Primary practice location
1290 Boyce Rd
Upper St Clair, PA 15241-3921
Mailing address
6424 Verona Rd
Verona, PA 15147-2540
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- Golden Wellness Counseling
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- Jordan Lee Harakal
- Erin L Heirendt
- Kerri L Henderson
All providers in Upper St Clair, 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 Nov 28, 2022. 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.