Provider Demographics
NPI:1245231315
Name:FUHRMAN, JILL A (PT)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:A
Last Name:FUHRMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3858
Mailing Address - Country:US
Mailing Address - Phone:717-840-4149
Mailing Address - Fax:717-840-9049
Practice Address - Street 1:1022 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3858
Practice Address - Country:US
Practice Address - Phone:717-840-4149
Practice Address - Fax:717-840-9049
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007959L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0993265OtherKEYSTONE
PA281041OtherALLIANCE
MD60507101OtherCAREFIRST
MD0001OtherCAREFIRST
PA02090201OtherCBC
PA2226074OtherAETNA
PA743919OtherHIGHMARK
PA5891153OtherAETNA
PA023222NSNMedicare ID - Type Unspecified