Provider Demographics
NPI:1922076934
Name:BARTH, ALLYN ANDERSON (PT)
Entity Type:Individual
Prefix:MS
First Name:ALLYN
Middle Name:ANDERSON
Last Name:BARTH
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 1:1439 HEATHER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:267-312-6301
Mailing Address - Fax:
Practice Address - Street 1:1439 HEATHER CIRCLE
Practice Address - Street 2:
Practice Address - City:YARDELY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:267-312-6301
Practice Address - Fax:215-369-0229
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005738L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001680246OtherHIGHMARK BLUESHIELD
PA1011234290001Medicaid
PA2354132000OtherIBC