Healthcare Provider Details

I. General information

NPI: 1124358296
Provider Name (Legal Business Name): ADAM DANIEL LEVER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 LOUCKS RD STE 200
YORK PA
17408-7902
US

IV. Provider business mailing address

5300 DERRY ST 2ND FL
HARRISBURG PA
17111-3576
US

V. Phone/Fax

Practice location:
  • Phone: 717-764-0144
  • Fax: 717-764-0554
Mailing address:
  • Phone: 717-839-2110
  • Fax: 717-565-1934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT004707
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT024697
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: