Provider Demographics
NPI:1164715595
Name:FUEHRER, JASON THOMAS (DPT)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:THOMAS
Last Name:FUEHRER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9627
Mailing Address - Country:US
Mailing Address - Phone:717-757-3537
Mailing Address - Fax:717-718-9701
Practice Address - Street 1:2112 HARRISBURG PIKE
Practice Address - Street 2:SUITE 321
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-757-3537
Practice Address - Fax:717-718-9701
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102633650-0002Medicaid
PA1586309OtherHEALTH AMERICA / COVENTRY
PA9050969OtherAETNA
PA002648198OtherHIGHMARK BLUE CROSS BLUE SHIELD
PA50138748OtherCAPITAL BLUE CROSS
PA9050969OtherAETNA