Provider Demographics
NPI:1104937879
Name:BRASHEARS, LEA JEAN (PT)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:JEAN
Last Name:BRASHEARS
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:2006-08-31
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015943225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1982141OtherCIGNA HEALTHCARE
2757671000OtherKEYSTONE HEALTH EAST
PA1892623OtherHIGHMARK BLUE SHIELD
2757671000OtherINDEPENDENCE BLUE CROSS
448397OtherHEALTHAMERICA/HEALTHASSUR
2170546OtherMAMSI
7109083OtherAETNA PPO
2784485OtherUNITED HEALTHCARE
820613OtherFIRST PRIORITY HEALTH
2757671000OtherAMERIHEALTH
P00403154OtherMEDICARE RAILROAD
PA109136Medicare PIN