Active NPI
Craig M. Souders, M.P.T.
- Orthopedic Physical Therapist
- Allentown, PA
National Provider Identifier
1619963170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT012773L
- Practice address
- 250 Cetronia Road
Suite 303
Allentown, PA 18104-9168 - Phone
- (610) 973-6200
- Fax
- (610) 973-6534
- NPI assigned
- Sep 21, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012773L | PA | |
| Sports Physical Therapist | 2251S0007X | PT012773L | PA | |
| Orthopedic Physical Therapist | 2251X0800X | PT012773L | PA | Primary |
Addresses
Primary practice location
250 Cetronia Road
Suite 303
Allentown, PA 18104-9168
Mailing address
7450 Tilghman St
Suite 100
Allentown, PA 18106-9034
Phone (610) 973-1700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50039966 | Other | PA | BLUE CROSS |
| 7345608 | Other | PA | AETNA |
| 2000541 | Other | PA | KEYSTONE CENTRAL |
| 1674539 | Other | PA | BLUE SHIELD |
| 1674539 | Other | PA | PERSONAL CHOICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012773L | PA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Allentown | Physical Therapist | Past | Accepting new patients |
| Orthopaedic Associates of Allentown | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Allentown, PA
- NPI 1396775367
-
- Orthopaedic Surgery Physician
- Allentown, PA
- NPI 1801888987
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619963170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 TILGHMAN ST",
"address_2": "SUITE 100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181069034",
"telephone_number": "610-973-1700",
"fax_number": "610-973-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CETRONIA ROAD",
"address_2": "SUITE 303",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-973-6200",
"fax_number": "610-973-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUDERS",
"first_name": "CRAIG",
"middle_name": "M.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012773L",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "PA",
"license": "PT012773L",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT012773L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50039966",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7345608",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL",
"identifier": "2000541",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1674539",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "1674539",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.