Basic Information
| Provider Information | |||||||||
| NPI: | 1255059747 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GHAISARNIA | ||||||||
| FirstName: | ALI | ||||||||
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| Credential: | PT, DPT, ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 WINGATE DRIVE | ||||||||
| Address2: | APT 301 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9139827927 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3200 S WATER ST | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152032307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8559377678 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2022 | ||||||||
| LastUpdateDate: | 08/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251S0007X | PT030584 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No ID Information.