Mr. Douglas John Dennison
Physical Therapist Physical Therapist - Sports Physical Therapist - Geriatrics Physical Therapist - Orthopedic and 1 more
219 Claremont Ave
Tamaqua
, Pennsylvania 18252-4431
Mr. Douglas John Dennison
Physical Therapist Physical Therapist - Sports Physical Therapist - Geriatrics Physical Therapist - Orthopedic and 1 more
219 Claremont Ave
Tamaqua
, Pennsylvania 18252-4431
(570) 889-5568
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
- Physical Therapist - Pediatrics
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Douglas John Dennison
- 219 Claremont Ave
- Tamaqua, PA
- Zip : 18252-4431
- Phone : (570) 889-5568
Second Address
- Mr. Douglas John Dennison
- 219 Claremont Ave
- Tamaqua, PA
- Zip : 18252-4431
- Fax : (570) 668-6115
- Phone : (570) 668-1889
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT017594 | PA |
| N | 2251G0304X | Physical Therapist - Geriatrics | ||
| N | 2251P0200X | Physical Therapist - Pediatrics | ||
| N | 2251S0007X | Physical Therapist - Sports | ||
| N | 2251X0800X | Physical Therapist - Orthopedic |
National Provider Identifier
| NPI | 1528055175 |
|---|---|
| Provider Name | Mr. Douglas John Dennison |
| First Address | Tamaqua, PA 18252-4431 |
| Second Address | Tamaqua, PA 18252-4431 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2005 |
| Last Update Date | 08/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1073637 | AETNA HMO (01) | |
| 11516549 | CAQH (01) | |
| 2002374 | KEYSTONE (01) | |
| 2451219000 | INDEPENDENCE BLUE CROSS (01) | |
| 268316 | HEALTH ASSURANCE (01) | |
| 50054393 | CAPITAL BLUE CROSS (01) | |
| 7146701 | AETNA PPO (01) | |
| 819644 | FIRST PRIORITY HEALTH (01) | |
| DE1769215 | HIGHMARK BLUE SHIELD (01) | |
| Q57046 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.