Provider Demographics
NPI:1689827081
Name:MCCARTHY, ROBIN LYNN (PTA)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 APACHE CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-8279
Mailing Address - Country:US
Mailing Address - Phone:724-443-7473
Mailing Address - Fax:
Practice Address - Street 1:885 MACBETH DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3332
Practice Address - Country:US
Practice Address - Phone:412-856-7071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI000201225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant