Provider Demographics
NPI:1144931353
Name:BERNLOHR, RYAN (DPT)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:BERNLOHR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 S HOWARD AVE APT 460
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2490
Mailing Address - Country:US
Mailing Address - Phone:717-324-6636
Mailing Address - Fax:
Practice Address - Street 1:165 GLEN DR STE 8
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:PA
Practice Address - Zip Code:17345-1336
Practice Address - Country:US
Practice Address - Phone:717-978-5944
Practice Address - Fax:717-775-5042
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030862225100000X
FLPT40418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist