1215206149 NPI number — BONNIE REBECCA LEWBART PT BS, PT MS

Table of content: BONNIE REBECCA LEWBART PT BS, PT MS (NPI 1215206149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215206149 NPI number — BONNIE REBECCA LEWBART PT BS, PT MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEWBART
Provider First Name:
BONNIE
Provider Middle Name:
REBECCA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT BS, PT MS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FEINER
Provider Other First Name:
BONNIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1215206149
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1108-A N. BETHLEHEM PIKE
Provider Second Line Business Mailing Address:
SUITE #1
Provider Business Mailing Address City Name:
LOWER GWYNEDD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-628-0788
Provider Business Mailing Address Fax Number:
215-628-2497

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1108-A N. BETHLEHEM PIKE
Provider Second Line Business Practice Location Address:
SUITE #1
Provider Business Practice Location Address City Name:
LOWER GWYNEDD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-628-0788
Provider Business Practice Location Address Fax Number:
215-628-2497
Provider Enumeration Date:
12/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT012276L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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