Provider Demographics
NPI:1740248681
Name:KAREHA, STEPHEN MICHAEL (DPT, OCS, ATC, CSCS)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:KAREHA
Suffix:
Gender:M
Credentials:DPT, OCS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 CETRONIA RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9569
Mailing Address - Country:US
Mailing Address - Phone:484-426-2544
Mailing Address - Fax:484-426-2444
Practice Address - Street 1:501 CETRONIA RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9569
Practice Address - Country:US
Practice Address - Phone:484-426-2544
Practice Address - Fax:484-426-2444
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018008225100000X, 2251X0800X
PART0034222255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA88974601OtherCAREFIRST
PAT7090008OtherCAREFIRST NATIONAL ACCT
PA1016350700002Medicaid
PA2702926000OtherPERSONAL CHOICE
PA1237901OtherAETNA
PA50059185OtherCAPITAL BLUE CROSS
PA1847023OtherHIGHMARK BLUE SHIELD
PA101988PJKMedicare PIN