Brian R Shidemantle, DPT - Physical Therapist in Wexford, PA

Brian R Shidemantle, DPT is a Physical Therapist based in Wexford, Pennsylvania. Brian R Shidemantle is licensed to practice in Pennsylvania (license number PT022955) and his current practice location is 100 Bradford Rd, Ste 210, Wexford, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (724) 940-2323.

NPI number for Brian R Shidemantle is 1104250539 and his current mailing address is 100 Bradford Rd, Ste 210, Wexford, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104250539.

Contact Information

Brian R Shidemantle, DPT
100 Bradford Rd, Ste 210,
Wexford, PA 15090
(724) 940-2323
(724) 940-2340

Map and Direction




Healthcare Provider's Profile

Full NameBrian R Shidemantle
GenderMale
SpecialityPhysical Therapist
Location100 Bradford Rd, Wexford, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104250539
  • Provider Enumeration Date: 08/21/2013
  • Last Update Date: 05/24/2018

Medical Identifiers

Medical identifiers for Brian R Shidemantle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104250539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2305208250 (Virginia)Secondary
225100000XPhysical Therapist PT022955 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brian R Shidemantle is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brian R Shidemantle, DPT
100 Bradford Rd, Ste 210,
Wexford, PA 15090-8485

Ph: (724) 602-0747
Brian R Shidemantle, DPT
100 Bradford Rd, Ste 210,
Wexford, PA 15090

Ph: (724) 940-2323

Reviews and Comments


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