Provider Demographics
NPI:1730511239
Name:BABJAK, MICHAEL J (PTA)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:BABJAK
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
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Mailing Address - Street 1:1910 COCHRAN RD STE 490
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1203
Mailing Address - Country:US
Mailing Address - Phone:412-531-2902
Mailing Address - Fax:412-531-2948
Practice Address - Street 1:2375 GREENTREE RD FL 2
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106
Practice Address - Country:US
Practice Address - Phone:412-249-1663
Practice Address - Fax:412-249-1665
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT027465225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist