1679762538 NPI number — DR. DOROTHY MCDONALD LINN PHYSICAL THERAPIST

Table of content: DR. DOROTHY MCDONALD LINN PHYSICAL THERAPIST (NPI 1679762538)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679762538 NPI number — DR. DOROTHY MCDONALD LINN PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINN
Provider First Name:
DOROTHY
Provider Middle Name:
MCDONALD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCDONALD
Provider Other First Name:
DOROTHY
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD PT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1679762538
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/17/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 THORNRIDGE ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15202-1028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-766-1615
Provider Business Mailing Address Fax Number:
412-766-1615

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
621 N MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-3911
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-228-7716
Provider Business Practice Location Address Fax Number:
724-229-5767
Provider Enumeration Date:
10/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT001449L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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