Provider Demographics
NPI:1083612808
Name:SCHOENBERGER, GARY GEORGE (PT)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:GEORGE
Last Name:SCHOENBERGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002555L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2170550OtherMAMSI
0025434000OtherKEYSTONE HEALTH EAST
01594301OtherKEYSTONE HEALT4H CENTRAL
1393977OtherUNITED HEALTHCARE
329004OtherHEALTHAMERICA/HEALTHASSUR
0053405OtherAETNA PPO
01594301OtherCAPITAL BLUE CROSS
821689OtherFIRST PRIORITY HEALTH
P1081973OtherOXFORD HEALTH PLANS
122270OtherHIGHMARK BLUE SHIELD
7474007OtherCIGNA HEALTHCARE
0025434000OtherINDEPENCENCE BLUE CROSS
47241OtherGEISINGER HEALTH PLAN
0025434000OtherAMERIHEALTH
0025434000OtherAMERIHEALTH
P1081973OtherOXFORD HEALTH PLANS