MEDICARE: MRS. JILL A FUHRMAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT007959L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0993265	OTHER	PA	KEYSTONE
2	281041	OTHER	PA	ALLIANCE
3	60507101	OTHER	MD	CAREFIRST
4	0001	OTHER	MD	CAREFIRST
5	02090201	OTHER	PA	CBC
6	2226074	OTHER	PA	AETNA
7	743919	OTHER	PA	HIGHMARK
8	5891153	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1245231315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JILL A FUHRMAN PT

Provider Business Mailing Address
First Line	:	1022 PLYMOUTH RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-3858
Country	:	US
Telephone Number	:	717-840-4149
Fax Number	:	717-840-9049

Provider Business Practice Location Address
First Line	:	1022 PLYMOUTH RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-3858
Country	:	US
Telephone Number	:	717-840-4149
Fax Number	:	717-840-9049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/08/2007

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Directions to “ MRS. JILL A FUHRMAN PT” Practice Location

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