Provider Demographics
NPI:1023016995
Name:SHEAFFER, KARL JOHN (PT DPT)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:JOHN
Last Name:SHEAFFER
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ALBURTIS
Mailing Address - State:PA
Mailing Address - Zip Code:18011-9316
Mailing Address - Country:US
Mailing Address - Phone:610-336-4300
Mailing Address - Fax:610-336-0971
Practice Address - Street 1:1150 GLENLIVET DR
Practice Address - Street 2:SUITE A14
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-3112
Practice Address - Country:US
Practice Address - Phone:610-336-4300
Practice Address - Fax:610-336-0971
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT000794225100000X
PAPT006278L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0255701OtherORTHONET
PA0399127000OtherKEYSTONEHEALTH PLAN EAST
PA2251096OtherMULTIPLAN
PA900065OtherFIRST HEALTH
PA000577435OtherPERSONAL CHOICE
PA0577435OtherKEYSTONEHEALTHPLANCENTRAL
PA577435OtherAMERIHEALTH ADMINISTRATORS
PA00577435OtherHIGHMARK BLUE SHIELD
PA245899OtherHEALTH ASSURANCE/AMERICA
PA0399127000OtherAMERIHEALTH
PA0399127000OtherINDEPENDENCE BLUE CROSS
PA50033389OtherCAPITAL BLUE CROSS
PA96513OtherGEISINGER HEALTH PLAN
PA0577435OtherSENIOR BLUE
PA1784211OtherCIGNA
PA702570OtherOPTUM
PA200683740OtherUNITED HEALTHCARE
PAEPDB5894110OtherAETNA
PAEPDB5894110OtherAETNA
PA200683740OtherUNITED HEALTHCARE
PAP12953Medicare UPIN