Provider Demographics
NPI:1003969320
Name:HARING PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:HARING PHYSICAL THERAPY, LLC
Other - Org Name:HARING PHYSICAL THERAPY & PERINATAL FITNESS SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER , PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:DGINTO
Authorized Official - Last Name:HARING
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, NCS
Authorized Official - Phone:484-788-9126
Mailing Address - Street 1:427 N 28TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4838
Mailing Address - Country:US
Mailing Address - Phone:484-788-9126
Mailing Address - Fax:484-221-8724
Practice Address - Street 1:623 W UNION BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-3708
Practice Address - Country:US
Practice Address - Phone:484-788-9126
Practice Address - Fax:484-221-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008033L, DAPT00044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001762321OtherHIGHMARK BLUE SHIELD
PA50059406OtherCAPITAL BLUE CROSS
PA2428670000OtherINDEPENDENCE BLUE CROSS
PA001762321OtherHIGHMARK BLUE SHIELD