Provider Demographics
NPI:1942279393
Name:CIUBA, FRANK JOSEPH (DPT, MS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:CIUBA
Suffix:
Gender:M
Credentials:DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 SHELLY RD
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1281
Mailing Address - Country:US
Mailing Address - Phone:215-513-1816
Mailing Address - Fax:215-513-1785
Practice Address - Street 1:2740 SHELLY RD
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1281
Practice Address - Country:US
Practice Address - Phone:215-513-1816
Practice Address - Fax:215-513-1785
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002940E174400000X
PADAPT000015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0877651000OtherKEYSTONE HEALTH PLAN EAST
PA186229OtherBLUE CROSS/BLUE SHIELD
PA0724395000OtherINDEPENDENCE BLUE CROSS
PAI27665OtherAMERIHEALTH
PA000186229OtherHIGHMARK BLUE SHIELD
2101185OtherAETNA
PA0877651000OtherKEYSTONE HEALTH PLAN EAST