Active NPI
Ronald Kevin Hicswa
- Physical Therapist
- Bethlehem, PA
National Provider Identifier
1982714606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2775 Schoenersville Rd
Bethlehem, PA 18017-7307 - Phone
- (610) 861-8080
- Fax
- (610) 807-0366
- NPI assigned
- Aug 30, 2006
- 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 | 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 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50081231 | Other | CAPITAL BLUE CROSS | |
| 2070657 | Other | HIGHMARK BLUE SHIELD | |
| 2038212 | Other | UNITED HEALTHCARE | |
| 47241 | Other | GEISINGER HEALTH PLAN | |
| PT018323 | Other | PA | STATE PT LICENSE |
| 2274244000 | Other | AMERIHEALTH | |
| 9261208 | Other | AETNA PPO | |
| 1566381 | Other | GATEWAY HEALTH PLAN | |
| 6687993 | Other | AETNA HMO | |
| 40QA00900000 | Other | NJ | LICENSE |
| 2274244000 | Other | INDEPENDENCE BLUE CROSS | |
| 2274244000 | Other | KEYSTONE HEALTH PLAN EAST | |
| 50081231 | Other | KEYSTONE HEALTH PLAN CENTRAL |
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1982714606",
"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": "HICSWA",
"first_name": "RONALD",
"middle_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50081231",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2070657",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2038212",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "47241",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PT LICENSE",
"identifier": "PT018323",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2274244000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "9261208",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1566381",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "6687993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "40QA00900000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2274244000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2274244000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN CENTRAL",
"identifier": "50081231",
"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 Dec 22, 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.