Brenda Riley-Gipe, P.T.,CST
Individual provider Active NPI Orthopedic Physical Therapist · Fairfield, PA
NPI 1649500810 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1649500810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT015540 (PA)
- Practice address
- 225 Emory LN
Fairfield, PA 17320-7831 - Phone
- (717) 357-8628
- NPI assigned
- Jan 11, 2010
- 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 |
|---|---|---|---|
| PT015540 | PA | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT015540 | PA | Yes |
Addresses
Primary practice location
225 Emory LN
Fairfield, PA 17320-7831
Mailing address
225 Emory LN
Fairfield, PA 17320-7831
Phone (717) 357-8628
Other providers in Fairfield, PA
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- Danielle Mikesell-Redding
- David Sadler Moore
- Neighborhood Network ABA, LLC
- Bob Harry Reid
- Elizabeth Sarah Shank
- Jacqueline A Shriner
- Dianne Carol Steimling
- John David Straw III
- Ryan Weaver
All providers in Fairfield, PA · Orthopedic 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 Jan 11, 2010. 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.