Provider Demographics
NPI:1801909437
Name:WOOLSLAYER, ROBERT ALAN (PT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALAN
Last Name:WOOLSLAYER
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:2006-08-17
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
50061659OtherCAPITAL BLUE CROSS
7686821OtherAETNA PPO
821691OtherFIRST PRIORITY HEALTH
452504OtherHEALTHAMERICA/HEALTHASSUR
1877592OtherHIGHMARK BLUE SHIELD
2739415000OtherINDEPENDENCE BLUE CROSS
7968678OtherCIGNA HEALTHCARE
50062659OtherKEYSTONE HEALTH CENTRAL
2739415000OtherKEYSTONE HEALTH EAST
2739415000OtherAMERIHEALTH
2842986OtherUNITED HEALTHCARE
47241OtherGEISINGER HEALTH PLAN
P00434145OtherMEDICARE RAILROAD
PA105941Medicare PIN