Provider Demographics
NPI:1063410835
Name:MCHUGH, JENNIFER H (PT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:H
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT010979L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
03169901OtherCAPITAL BLUE CROSS
0423737000OtherINDEPENDENCE BLUE CROSS
0423737000OtherKEYSTONE HEALTH EAST
5783361OtherCIGNA HEALTHCARE
650013662OtherMEDICARE RAILROAD
961712OtherFIRST PRIORITY LIFE INS.
806596OtherFIRST PRIORITY HEALTH
03169901OtherKEYSTONE HEALTH CENTRAL
0423737000OtherAMERIHEALTH
328983OtherHEALTHAMERICA/HEALTHASSUR
961712OtherHIGHMARK BLUE SHIELD
P693615OtherOXFORD HEALTH PLANS
2158282OtherUNITED HEALTHCARE
2170563OtherMAMSI
859257OtherAETNA PPO