Basic Information
| Provider Information | |||||||||
| NPI: | 1922094226 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NERI | ||||||||
| FirstName: | LINDA | ||||||||
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| Credential: | PT | ||||||||
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| 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: | 09/22/2005 | ||||||||
| LastUpdateDate: | 12/23/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT010829L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 1371816 | 01 | UNITED HEALTHCARE | OTHER | 50079675 | 01 | CAPITAL BLUE CROSS | OTHER | 1577096 | 01 | GATEWAY HEALTH PLAN | OTHER | 2357541000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 50079675 | 01 | KEYSTONE HEALTH PLAN CENTRAL | OTHER | 7305652 | 01 | PA | AETNA | OTHER | 2357541000 | 01 | AMERIHEALTH | OTHER | 1684292 | 01 | PA | BLUE SHIELD | OTHER | 2357541000 | 01 | KEYSTONE HEALTH PLAN EAST | OTHER | 7920161 | 01 | CIGNA HEALTHCARE | OTHER |