Provider Demographics
NPI:1417028028
Name:SEESE, CARA L (PT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:SEESE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:L
Other - Last Name:SADOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:66 S COURTLAND ST
Mailing Address - Street 2:# 101
Mailing Address - City:E STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-2827
Mailing Address - Country:US
Mailing Address - Phone:570-420-0606
Mailing Address - Fax:570-420-0646
Practice Address - Street 1:12 HARDWICK ST
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1502
Practice Address - Country:US
Practice Address - Phone:908-475-3505
Practice Address - Fax:908-475-1653
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010581L225100000X
NY016669-1225100000X
NJ40QA00893800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA822472OtherFIRST PRIORITY HEALTH
PA12728231OtherMULTIPLAN
PA000568922OtherHIGHMARK BCBS
PA000568922OtherHIGHMARK BCBS
NJ084226WUZMedicare Oscar/Certification
NJDQ8616Medicare PIN
PADF4056Medicare PIN
NJ112282Medicare PIN
PA12728231OtherMULTIPLAN
PA096528UT6Medicare Oscar/Certification