Provider Demographics
NPI:1629524277
Name:FLEMING, MICHAEL (MPT, OCS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LVHN REHABILITATION SERVICES, 250 CETRONIA RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9147
Mailing Address - Country:US
Mailing Address - Phone:610-737-6316
Mailing Address - Fax:
Practice Address - Street 1:2901 EMRICK BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8062
Practice Address - Country:US
Practice Address - Phone:610-625-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011022L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic