Provider Demographics
NPI:1861763112
Name:KINESIS PHYSICAL THERAPY
Entity type:Organization
Organization Name:KINESIS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:EBERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:412-667-8574
Mailing Address - Street 1:1201 BROUGHTON RD STE 203
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3451
Mailing Address - Country:US
Mailing Address - Phone:412-892-5650
Mailing Address - Fax:412-892-5651
Practice Address - Street 1:5241 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2756
Practice Address - Country:US
Practice Address - Phone:412-892-5650
Practice Address - Fax:412-892-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty