Provider Demographics
NPI:1689865297
Name:KOHLER, JARED DAVID (PT)
Entity type:Individual
Prefix:
First Name:JARED
Middle Name:DAVID
Last Name:KOHLER
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:2007-08-08
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
50073445OtherKEYSTONE HEALTH CENTRAL
2856257000OtherAMERIHEALTH
2856257000OtherINDEPENDENCE BLUE CROSS
50073445OtherCAPITAL BLUE CROSS
7826910OtherAETNA PPO
1669905OtherAETNA HMO
2856257000OtherKEYSTONE HEALTH EAST
2857875OtherUNITED HEALTHCARE
822263OtherFIRST PRIORITY HEALTH
P3851203OtherOXFORD HEALTH PLANS
1976362OtherHIGHMARK BLUE SHIELD
47241OtherGEISINGER HEALTH PLAN
P00443139OtherRAILROAD MEDICARE
50073445OtherCAPITAL BLUE CROSS