Provider Demographics
NPI:1528218385
Name:FORER, SHIRLEY (PT)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:FORER
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 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019561225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1472596OtherCIGNA HEALTHCARE
6640951OtherAETNA HMO
2067652OtherHIGHMARK BLUE SHIELD
3544051000OtherINDEPENDENCE BLUE CROSS
50081230OtherKEYSTONE HEALTH PLAN CENTRAL
3544051000OtherKEYSTONE HEALTH PLAN EAST
47241OtherGEISINGER HEALTH PLAN
1577092OtherGATEWAY HEALTH PLAN
3544051000OtherAMERIHEALTH
9183217OtherAETNA PPO
2957492OtherUNITED HEALTHCARE
50081230OtherCAPITAL BLUE CROSS
9183217OtherAETNA PPO