Healthcare Provider Details

I. General information

NPI: 1649207325
Provider Name (Legal Business Name): HAROLD MILLMAN PT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 EAST ELIZABETH AVENUE
BETHLEHEM PA
18018-6504
US

IV. Provider business mailing address

41 EAST ELIZABETH AVENUE
BETHLEHEM PA
18018-6504
US

V. Phone/Fax

Practice location:
  • Phone: 610-868-2211
  • Fax: 610-868-8871
Mailing address:
  • Phone: 610-868-2211
  • Fax: 610-868-8871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierHA906582
Identifier TypeOTHER
Identifier State
Identifier IssuerHIGHMARK
# 2
Identifier0053732
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA
# 3
Identifier02522300
Identifier TypeOTHER
Identifier State
Identifier IssuerCAPITAL BLUE CROSS

VIII. Authorized Official

Name: DR. HAROLD MILLMAN
Title or Position: OWNER DIRECTOR PHYSICAL THERAPIST
Credential: PT DPT OCS
Phone: 610-868-2211