Provider Demographics
NPI:1336147123
Name:KREIDER, CHAD MICHAEL (PT)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:MICHAEL
Last Name:KREIDER
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:2005-07-14
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013550L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
03170001OtherKEYSTONE HEALTH CENTRAL
0440624000OtherKEYSTONE HEALTH EAST
5008552OtherCIGNA HEALTHCARE
P21022995OtherOXFORD HEALTH PLANS
811600OtherFIRST PRIORITY HEALTH
0440624000OtherINDEPENDENCE BLUE CROSS
0440624000OtherAMERIHEALTH
643095OtherHIGHMARK BLUE SHIELD
03170001OtherCAPITAL BLUE CROSS
2201257OtherUNITED HEALTHCARE
47241OtherGEISINGER HEALTH PLAN
643095OtherFIRST PRIORITY LIFE INS
2362601OtherAETNA PPO
329117OtherHEALTHAMERICA/HEALTHASSUR
2201257OtherUNITED HEALTHCARE
329117OtherHEALTHAMERICA/HEALTHASSUR