Provider Demographics
NPI:1841392362
Name:CORE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:CORE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY/OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DANISH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:610-882-9611
Mailing Address - Street 1:3201 HIGHFIELD DR STE G
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-1113
Mailing Address - Country:US
Mailing Address - Phone:610-882-9611
Mailing Address - Fax:610-882-2717
Practice Address - Street 1:3201 HIGHFIELD DR STE G
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-1113
Practice Address - Country:US
Practice Address - Phone:610-882-9611
Practice Address - Fax:610-882-2717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA140822OtherHIGHMARK BLUE SHIELD
PA02591200OtherKEYSTONE HEALTH PLAN CENT
PA0133376000OtherKEYSTONE HEALTH PLAN EAST
PA0214700OtherORTHONET CIGNA
PA02591200OtherCAPITOL BLUE CROSS
PA02591200OtherCAPITOL BLUE CROSS