Healthcare Provider Details

I. General information

NPI: 1033308671
Provider Name (Legal Business Name): JANEEN MARIE NEWMAN PT, DPT, WCS, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANEEN MARIE FARRELL PT, DPT

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 BATHGATE RD STE 300
BETHLEHEM PA
18017-7336
US

IV. Provider business mailing address

3026 VALLEY AVE APT 7
WINCHESTER VA
22601-2649
US

V. Phone/Fax

Practice location:
  • Phone: 484-884-2251
  • Fax:
Mailing address:
  • Phone: 609-217-8705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021160
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number2305205235
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: