Provider Demographics
NPI:1881693505
Name:READING-BERKS PHYSICAL THERAPY
Entity type:Organization
Organization Name:READING-BERKS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-921-0609
Mailing Address - Street 1:3405 POINCIANA AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-1562
Mailing Address - Country:US
Mailing Address - Phone:610-929-5948
Mailing Address - Fax:610-488-8215
Practice Address - Street 1:7171 BERNVILLE RD
Practice Address - Street 2:
Practice Address - City:BERNVILLE
Practice Address - State:PA
Practice Address - Zip Code:19506-8624
Practice Address - Country:US
Practice Address - Phone:610-488-7854
Practice Address - Fax:610-488-8215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000378E261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01128401OtherBLUE CROSS
PA468220OtherBLUE SHIELD
PA468220OtherBLUE SHIELD