Provider Demographics
NPI:1023177383
Name:KARTHAUS, LOUELLEN (PT CLT)
Entity type:Individual
Prefix:
First Name:LOUELLEN
Middle Name:
Last Name:KARTHAUS
Suffix:
Gender:F
Credentials:PT CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 MYSTIC VIEW LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2042
Mailing Address - Country:US
Mailing Address - Phone:267-221-1241
Mailing Address - Fax:
Practice Address - Street 1:65 E BUTLER AVE STE 101
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-5219
Practice Address - Country:US
Practice Address - Phone:267-221-1241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010985L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2425221OtherUNITED HEALTHCARE
PA30013757OtherKEYSTONE MERCY HP
PA5030307OtherAETNA
PA1400200OtherORTHONET
PA976943OtherBCBS
PA100877595Medicaid