Provider Demographics
NPI:1154459170
Name:FRITTS, KIMBERLY ANN (DPT)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ANN
Last Name:FRITTS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ANN
Other - Last Name:SMELKO
Other - Suffix:
Other - Last Name Type:Former Name
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:2007-03-01
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013976L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2211273OtherUNITED HEALTHCARE
2850336000OtherKEYSTONE HEALTH EAST
2850336000OtherINDEPENDENCE BLUE CROSS
50070444OtherKEYSTONE HEALTH CENTRAL
687691OtherHEALTHAMERICA/HEALTHASSUR
1660864OtherAETNA HMO
7979983OtherAETNA PPO
50070444OtherCAPITAL BLUE CROSS
1970020OtherHIGHMARK BLUE SHIELD
2850336000OtherAMERIHEALTH
821770OtherFIRST PRIORITY HEALTH
9980532OtherCIGNA HEALTHCARE
PA113149Medicare PIN