Organization
SUPER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL SUPER DPT (OWNER)
(484) 951-2654
Entity
Organization
Contact information
Practice address
5472 FALCON CT, BETHLEHEM, PA 18017-8211
(484) 951-2654
(610) 837-1693
Mailing address
5472 FALCON CT, BETHLEHEM, PA 18017-8211
(484) 951-2654
(610) 837-1693
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT009952L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265408
HIGHMARK BLUE SHIELD
—
01
—
50075511
CAPITAL BLUE CROSS
—
01
—
718809
UNITED HEALTHCARE
—
Enumeration date
12/12/2007
Last updated
04/30/2023
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