Provider Demographics
NPI:1528898228
Name:ONC, LYMPH AND PELVIC PHYSIO LLC
Entity type:Organization
Organization Name:ONC, LYMPH AND PELVIC PHYSIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:RAJVEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS, WCS, C
Authorized Official - Phone:412-452-6454
Mailing Address - Street 1:1613 BILTMORE LN
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-4506
Mailing Address - Country:US
Mailing Address - Phone:412-522-8198
Mailing Address - Fax:
Practice Address - Street 1:3495 BUTLER ST
Practice Address - Street 2:FLOOR 3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-1375
Practice Address - Country:US
Practice Address - Phone:412-452-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy