Provider Demographics
NPI:1467667881
Name:REED PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:REED PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:REED
Authorized Official - Suffix:SR
Authorized Official - Credentials:PT DPT OCS CSCS
Authorized Official - Phone:814-766-2295
Mailing Address - Street 1:2230 WOODBURY PIKE
Mailing Address - Street 2:STE 1
Mailing Address - City:LOYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16659
Mailing Address - Country:US
Mailing Address - Phone:814-766-2295
Mailing Address - Fax:814-766-2642
Practice Address - Street 1:2230 WOODBURY PIKE
Practice Address - Street 2:STE 1
Practice Address - City:LOYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16659
Practice Address - Country:US
Practice Address - Phone:814-766-2295
Practice Address - Fax:814-766-2642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015097 DAPT000200261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2005313OtherHIGHMARK
PA2453998000OtherGROUP NUMBER FOR IBC KHPE
PA9137091OtherAETNA
PA6807080OtherCIGNA
PA738731OtherHEALTHAMERICA HEALTHASSURANCE COVENTRY
PA2941362OtherUNITED HEALTHCARE
PA1021177670001Medicaid
PA123254Medicare PIN