Healthcare Provider Details

I. General information

NPI: 1720448954
Provider Name (Legal Business Name): USHA KANSARA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2016
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 E MARKET ST
BETHLEHEM PA
18018-6305
US

IV. Provider business mailing address

6175 OLDE TROLLEY LN
COOPERSBURG PA
18036-9533
US

V. Phone/Fax

Practice location:
  • Phone: 610-868-4982
  • Fax:
Mailing address:
  • Phone: 570-266-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number770616119
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022530
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: