Provider Demographics
NPI:1548268600
Name:ORTHOPEDIC PHYSICAL THERAPY SPECIALISTS, INC.
Entity type:Organization
Organization Name:ORTHOPEDIC PHYSICAL THERAPY SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SHEAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT
Authorized Official - Phone:610-336-4300
Mailing Address - Street 1:1150 GLENLIVET DR
Mailing Address - Street 2:SUITE A14
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-3112
Mailing Address - Country:US
Mailing Address - Phone:610-336-4300
Mailing Address - Fax:610-336-0971
Practice Address - Street 1:1150 GLENLIVET DR
Practice Address - Street 2:SUITE A14
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-3112
Practice Address - Country:US
Practice Address - Phone:610-336-4300
Practice Address - Fax:610-336-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006278L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1596860OtherAMERIHEALTH ADMINISTRATOR
PA50033390OtherCAPITAL BLUE CROSS
PA1784211OtherCIGNA
PA3000107OtherKEYSTONEHEALTHPLANCENTRAL
PA3488496OtherAETNA
PAOR1596860OtherHIGHMARK BLUE SHIELD
PA245899OtherHEALTH ASSURANCE AMERICA
PA3000107OtherSENIOR BLUE
PA96513OtherGEISINGER HEALTH PLAN
PA2278874000OtherAMERIHEALTH
PA2278874000OtherKEYSTONEHEALTHPLAN EAST
PAOR1596860OtherHIGHMARK BLUE SHIELD
PA50033390OtherCAPITAL BLUE CROSS
PA2278874000OtherAMERIHEALTH
PA2278874000OtherAMERIHEALTH