Provider Demographics
NPI:1487606703
Name:TAYLOR, CHRIS ANNE (LPT)
Entity type:Individual
Prefix:MS
First Name:CHRIS
Middle Name:ANNE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:MS
Other - First Name:CHRIS
Other - Middle Name:ANNE
Other - Last Name:BURIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:518 PELLIS RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-4599
Mailing Address - Country:US
Mailing Address - Phone:724-832-1696
Mailing Address - Fax:724-832-6351
Practice Address - Street 1:518 PELLIS RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4599
Practice Address - Country:US
Practice Address - Phone:724-832-1696
Practice Address - Fax:724-832-6351
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000546L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA350432OtherHIGHMARK
PA350432OtherHIGHMARK
PA354032Medicare ID - Type Unspecified