Provider Demographics
NPI:1841255189
Name:SCHUCK, BRIAN P (PT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:P
Last Name:SCHUCK
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 1:2300 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9627
Mailing Address - Country:US
Mailing Address - Phone:717-757-3537
Mailing Address - Fax:717-718-9701
Practice Address - Street 1:1010 EICHELBERGER ST
Practice Address - Street 2:SUITE 9
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1374
Practice Address - Country:US
Practice Address - Phone:717-757-3537
Practice Address - Fax:717-718-9701
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016009225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50007909OtherCAPITAL BLUE CROSS
PA2103044OtherMAMSI
PA3051878OtherAETNA
PA1357893OtherHIGHMARK BLUE SHIELD
MD61932401OtherCAREFIRST BLUE SHIELD
PA0019371760001Medicaid
PA3051878OtherAETNA
PA3051878OtherAETNA