Provider Demographics
NPI:1407801590
Name:TEWS, NIKOL MICHELLE (PT OCS)
Entity Type:Individual
Prefix:
First Name:NIKOL
Middle Name:MICHELLE
Last Name:TEWS
Suffix:
Gender:F
Credentials:PT OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3340
Mailing Address - Street 2:NEW VALLEY REHAB
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18043-3340
Mailing Address - Country:US
Mailing Address - Phone:484-851-3386
Mailing Address - Fax:484-851-3469
Practice Address - Street 1:2006 CENTER ST
Practice Address - Street 2:REHAB PARTNERS
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1321
Practice Address - Country:US
Practice Address - Phone:610-262-0300
Practice Address - Fax:610-262-3037
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007214L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3336072OtherHMO
4572840OtherPPO
PA50020667OtherCAPITAL
PT007214LOtherUS DEPT OF LABOR
PATW768394OtherHIGHMARK
PA01604670Medicaid
0712335000OtherHMO KEYSTONE EAST
20033075OtherAMERIHEALTH MERCY
50020667OtherCAPITAL ADVANTAGE BLUE CR
768394OtherPPO PERSONAL CHOICE
073630OtherMEDICARE
TW768394OtherBLUE SHIELD PA HIGHMARK