Basic Information
Provider Information
NPI: 1982603700
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOENBERGER
FirstName: JARED
MiddleName: JOSEPH
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: 07/14/2005
LastUpdateDate: 01/30/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT013862LPAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

ID Information
IDTypeStateIssuerDescription
080191000001 AMERIHEALTHOTHER
080191000001 KEYSTONE HEALTH EASTOTHER
237979801 AETNA PPOOTHER
82197801 FIRST PRIORITY HEALTHOTHER
0217660201 CAPITAL BLUE CROSSOTHER
080191000001 INDEPENDENCE BLUE CROSSOTHER
4724101 GEISINGER HEALTH PLANOTHER
764908201 CIGNA HEALTHCAREOTHER
P215416101 OXFORD HEALTH PLANSOTHER
0217660201 KEYSTONE HEALTH CENTRALOTHER
220200001 UNITED HEALTHCAREOTHER
32900901 HEALTHAMERICA/HEALTHASSUROTHER
88433701 HIGHMARK BLUE SHIELDOTHER


Home