Provider Demographics
NPI:1811073257
Name:REED, JAY BRADLEY (PT DPT OCS CSCS)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:BRADLEY
Last Name:REED
Suffix:
Gender:M
Credentials:PT DPT OCS CSCS
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Mailing Address - Street 1:2230 WOODBURY PIKE
Mailing Address - Street 2:STE 1
Mailing Address - City:LOYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16659
Mailing Address - Country:US
Mailing Address - Phone:814-766-2295
Mailing Address - Fax:814-766-2642
Practice Address - Street 1:2230 WOODBURY PIKE
Practice Address - Street 2:STE 1
Practice Address - City:LOYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16659
Practice Address - Country:US
Practice Address - Phone:814-766-2295
Practice Address - Fax:814-766-2642
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2010-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT015097/DAPT0002002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2431269OtherUNITED HEALTHCARE
PA1320961OtherHIGHMARK BLUE CROSS
PA1570732OtherGATEWAY HEALTH PLAN
PA2013585000OtherINDEPENDENCE BLUE CROSS
PA0018940500003Medicaid
PA737084OtherHEALTHAMERICA HEALTHASSURANCE COVENTRY
PA0018940500003Medicaid