Olga Anna Midzak, MPT
Individual provider Active NPI Orthopedic Physical Therapist · Rockledge, PA
NPI 1730294349 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730294349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT003674-L (PA)
- Practice address
- 888 Fox Chase Rd
2ND Floor
Rockledge, PA 19046-4437 - Phone
- (215) 663-8050
- Fax
- (215) 663-9388
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT003674-L | PA | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT003674-L | PA | Yes |
Addresses
Primary practice location
888 Fox Chase Rd
2ND Floor
Rockledge, PA 19046-4437
Mailing address
888 Fox Chase Rd
2ND Floor
Rockledge, PA 19046-4437
Phone (215) 663-8050
Other providers in Rockledge, PA
- Sean Patrick McCloskey
- Patricia McGrath
- Marie Patricia McTamney
- Medicine Man Inc
- Allison Elizabeth Menard
- David M Miller
- Wessley Monollese
- Jillian Mozitis
- Christopher Joseph Mullen IV
- Michael A Musho
All providers in Rockledge, 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 Jul 8, 2007. 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.