Provider Demographics
NPI:1689556797
Name:MASSART, TAYLOR JANE (PTA)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:JANE
Last Name:MASSART
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1326 CARLISLE ST
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1133
Mailing Address - Country:US
Mailing Address - Phone:412-877-7176
Mailing Address - Fax:
Practice Address - Street 1:96 ALLEGHENY RIVER BLVD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-1046
Practice Address - Country:US
Practice Address - Phone:412-828-7965
Practice Address - Fax:412-828-5273
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE013819225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant