Provider Demographics
NPI:1912563230
Name:PERNI, MAURA (PT, DPT, OCS)
Entity type:Individual
Prefix:MRS
First Name:MAURA
Middle Name:
Last Name:PERNI
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 TURNER AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1725
Mailing Address - Country:US
Mailing Address - Phone:484-886-8668
Mailing Address - Fax:
Practice Address - Street 1:5039 TOWNSHIP LINE RD STE 101
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4847
Practice Address - Country:US
Practice Address - Phone:484-521-3660
Practice Address - Fax:484-521-3661
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027687225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist