Provider Demographics
NPI:1174581615
Name:MAURER, RICHARD TODD (MSPT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:TODD
Last Name:MAURER
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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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:2006-05-03
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018603225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1561927OtherAETNA HMO
50067571OtherKEYSTONE HEALTH CENTRAL
2818971000OtherAMERIHEALTH
2842807OtherUNITED HEALTHCARE
821694OtherFIRST PRIORITY HEALTH
2818971000OtherINDEPENDENCE BLUE CROSS
583476OtherHEALTHAMERICA/HEALTHASSUR
3442098OtherCIGNA HEALTHCARE
P00437100OtherRAILROAD MEDICARE
1946180OtherHIGHMARK BLUE SHIELD
2818971000OtherKEYSTONE HEALTH EAST
5620499OtherAETNA PPO
47241OtherGEISINGER HEALTH PLAN
50067571OtherCAPITAL BLUE CROSS
50067571OtherCAPITAL BLUE CROSS