Laura Kathleen Chamberlain, DPT

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Bedford, PA

NPI 1710179692 · NPPES record last updated Aug 14, 2007

Key facts

NPI
1710179692
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
PT018793 (PA)
Practice address
9589 Lincoln Hwy
Suite 2
Bedford, PA 15522-3708
Phone
(814) 623-9022
Fax
(814) 623-6639
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT018793PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mile-Level Physical Therapy Past
since Jul 1, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT018793 PA Yes

Addresses

Primary practice location

9589 Lincoln Hwy
Suite 2
Bedford, PA 15522-3708

Mailing address

9589 Lincoln Hwy
Suite 2
Bedford, PA 15522-3708
Phone (814) 623-9022

Other providers in Bedford, PA

All providers in Bedford, PA · Physical Medicine & Rehabilitation Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.