Active NPI
Gary George Schoenberger, P.T.
- Physical Therapist
- Bethlehem, PA
National Provider Identifier
1083612808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002555L
- Practice address
- 2775 Schoenersville Rd
Bethlehem, PA 18017-7307 - Phone
- (610) 861-8080
- Fax
- (610) 807-0366
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002555L | PA | Primary |
Addresses
Primary practice location
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Mailing address
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2170550 | Other | MAMSI | |
| 0025434000 | Other | KEYSTONE HEALTH EAST | |
| 01594301 | Other | KEYSTONE HEALT4H CENTRAL | |
| 1393977 | Other | UNITED HEALTHCARE | |
| 329004 | Other | HEALTHAMERICA/HEALTHASSUR | |
| 0053405 | Other | AETNA PPO | |
| 01594301 | Other | CAPITAL BLUE CROSS | |
| 821689 | Other | FIRST PRIORITY HEALTH | |
| P1081973 | Other | OXFORD HEALTH PLANS | |
| 122270 | Other | HIGHMARK BLUE SHIELD | |
| 7474007 | Other | CIGNA HEALTHCARE | |
| 0025434000 | Other | INDEPENCENCE BLUE CROSS | |
| 47241 | Other | GEISINGER HEALTH PLAN | |
| 0025434000 | Other | AMERIHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1083612808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177307",
"telephone_number": "610-861-8080",
"fax_number": "610-807-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177307",
"telephone_number": "610-861-8080",
"fax_number": "610-807-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENBERGER",
"first_name": "GARY",
"middle_name": "GEORGE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT002555L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2170550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH EAST",
"identifier": "0025434000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALT4H CENTRAL",
"identifier": "01594301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1393977",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA/HEALTHASSUR",
"identifier": "329004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "0053405",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01594301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "821689",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P1081973",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "122270",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "7474007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENCENCE BLUE CROSS",
"identifier": "0025434000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "47241",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0025434000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.