Basic Information
Provider Information
NPI: 1669505137
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGINTY
FirstName: JAMIE
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 112 CARLYE DR
Address2:  
City: CRANBERRY TOWNSHIP
State: PA
PostalCode: 160663222
CountryCode: US
TelephoneNumber: 7247739779
FaxNumber:  
Practice Location
Address1: 1717 SKYLINE DR
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152271616
CountryCode: US
TelephoneNumber: 4128858400
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/14/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT016737PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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