Provider Demographics
NPI:1902869191
Name:HOOVER PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:HOOVER PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:RAYELLEN
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-737-1732
Mailing Address - Street 1:3507 MARKET STREET
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4539
Mailing Address - Country:US
Mailing Address - Phone:717-737-1732
Mailing Address - Fax:171-737-1175
Practice Address - Street 1:3507 MARKET ST STE 301
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4310
Practice Address - Country:US
Practice Address - Phone:717-737-1732
Practice Address - Fax:171-737-1175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50024428OtherCAPITAL BLUE CROSS
PA7203467OtherAETNA
PA50024428OtherCAPITAL BLUE CROSS