Provider Demographics
NPI:1982603700
Name:SCHOENBERGER, JARED JOSEPH (PT)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:JOSEPH
Last Name:SCHOENBERGER
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:2005-07-14
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013862L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
02176602OtherKEYSTONE HEALTH CENTRAL
47241OtherGEISINGER HEALTH PLAN
884337OtherHIGHMARK BLUE SHIELD
0801910000OtherAMERIHEALTH
0801910000OtherKEYSTONE HEALTH EAST
P2154161OtherOXFORD HEALTH PLANS
2379798OtherAETNA PPO
02176602OtherCAPITAL BLUE CROSS
7649082OtherCIGNA HEALTHCARE
2202000OtherUNITED HEALTHCARE
0801910000OtherINDEPENDENCE BLUE CROSS
329009OtherHEALTHAMERICA/HEALTHASSUR
821978OtherFIRST PRIORITY HEALTH
47241OtherGEISINGER HEALTH PLAN
PA042146Medicare PIN