Provider Demographics
NPI:1548341373
Name:HESS PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:HESS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:HESS
Authorized Official - Suffix:III
Authorized Official - Credentials:DPT
Authorized Official - Phone:412-771-1055
Mailing Address - Street 1:566 PINE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1661
Mailing Address - Country:US
Mailing Address - Phone:412-771-1055
Mailing Address - Fax:412-771-2256
Practice Address - Street 1:566 PINE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1661
Practice Address - Country:US
Practice Address - Phone:412-771-1055
Practice Address - Fax:412-771-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016011225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA070041Medicare ID - Type UnspecifiedGROUP MEDICARE #