Provider Demographics
NPI:1922012475
Name:JOHNSTON, ANDREW (PT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:M
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:2006-07-28
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008996225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
50066369OtherCAPITAL BLUE CROSS
50066369OtherKEYSTONE HEALTH CENTRAL
P00382470OtherMEDICARE RAILROAD
2009654000OtherINDEPENDENCE BLUE CROSS
7601247OtherAETNA PPO
821652OtherFIRST PRIORITY HEALTH
2110272OtherUNITED HEALTHCARE
0444698OtherCIGNA HEALTHCARE
1316519OtherHIGHMARK BLUE SHIED
2009654000OtherAMERIHEALTH
2009654000OtherKEYSTONE HEALTH EAST
3118480OtherMAMSI
1522876OtherAETNA HMO
821652OtherFIRST PRIORITY HEALTH