Provider Demographics
NPI:1265431258
Name:MALONEY, SHAWN (PT)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:MALONEY
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 1:501 N 17TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5044
Practice Address - Country:US
Practice Address - Phone:610-439-8500
Practice Address - Fax:610-439-1320
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
329148OtherHEALTHAMERICA/HEALTHASSUR
7518605OtherAETNA PPO
2313108000OtherKEYSTONE HEALTH EAST
2313108000OtherINDEPENDENCE BLUE CROSS
2170527OtherMAMSI
818472OtherFIRST PRIORITY HEALTH
47241OtherGEISINGER HEALTH PLAN
8916194OtherCIGNA HEALTHCARE
P3395930OtherOXFORD HEALTH PLANS
1638384OtherHIGHMARK BLUE SHIELD
2313108000OtherAMERIHEALTH
50047055OtherKEYSTONE HEALTH CENTRAL
P00153829OtherMEDICARE RAILROAD
1638384OtherFIRST PRIORITY LIFE INS
2461388OtherUNITED HEALTHCARE
50047055OtherCAPITAL BLUE CROSS
50047055OtherKEYSTONE HEALTH CENTRAL