Provider Demographics
NPI:1356460299
Name:LEVIN, DARYL (LPT)
Entity Type:Individual
Prefix:MR
First Name:DARYL
Middle Name:
Last Name:LEVIN
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3663 SIPLER LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3234
Mailing Address - Country:US
Mailing Address - Phone:215-938-9317
Mailing Address - Fax:
Practice Address - Street 1:2221 GALLOWAY RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2917
Practice Address - Country:US
Practice Address - Phone:215-244-0235
Practice Address - Fax:215-244-3265
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005218L225100000X
PADAPT001179225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000026736OtherHIGHMARK BLUE SHIELD
PA0063334000OtherBLUE CROSS
PA0659360000OtherHMO