Basic Information
Provider Information
NPI: 1871556100
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAROLY
FirstName: RAYMOND
MiddleName: JOHN
NamePrefix:  
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2775 SCHOENERSVILLE RD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177307
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6108070366
Practice Location
Address1: 2775 SCHOENERSVILLE RD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177307
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6108070366
Other Information
ProviderEnumerationDate: 04/08/2006
LastUpdateDate: 01/14/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT015687PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

ID Information
IDTypeStateIssuerDescription
5005877501 KEYSTONE HEALTH CENTRALOTHER
5005877501 CAPITAL BLUE CROSSOTHER
230427801 UNITED HEALTHCAREOTHER
724338401 AETNA PPOOTHER
209327700001 AMERIHEALTHOTHER
583166901 CIGNA HEALTHCAREOTHER
140539501 HIGHMARK BLUE SHIELDOTHER
209327700001 KEYSTONE HEALTH EASTOTHER
209327700001 INDEPENDENCE BLUE CROSSOTHER
82165301 FIRST PRIORITY HEALTHOTHER
43059201 HEALTHAMERICA/HEALTHASSUROTHER


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