Patriot Medical Management Services
Organization Active NPI Physical Therapist · West Mifflin, PA
NPI 1497714992 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1497714992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PATRIOT MEDICAL MANAGEMENT SERVICES
- Practice address
- 4609 Easy St
West Mifflin, PA 15122-1966 - Phone
- (412) 462-1191
- Fax
- (412) 462-1182
- NPI assigned
- Mar 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary Bornak, MPT
- Title
- President
- Phone
- (412) 462-1191
Practitioners 9
-
Gary Bornak, MSPT
-
David J Derienzo, MSPT
-
Randall S Lofgren, MPT
-
Michael D Piekutoski, MPT
-
Bryon L Wolfe, MPT
-
Jason T Henne, PT
-
Scott Pape, MPT
-
Theresa A Spalla, D.P.T.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
4609 Easy St
West Mifflin, PA 15122-1966
Mailing address
4609 Easy St
West Mifflin, PA 15122-1966
Phone (412) 462-1191
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.