Active NPI
Lisa Gualtieri, PHYSICAL THERAPIST
- Geriatric Physical Therapist
- East Fallowfield Township, PA
National Provider Identifier
1003284910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT007925L
- Practice address
- 300 Strode Ave
East Fallowfield Township, PA 19320-2874 - Phone
- (610) 384-6310
- NPI assigned
- Sep 9, 2015
- Last updated
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT007925L | PA | Primary |
Addresses
Primary practice location
300 Strode Ave
East Fallowfield Township, PA 19320-2874
Mailing address
91 Ramblewood Dr
Glenmoore, PA 19343-1140
Phone (484) 888-0627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007925L | PA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1003284910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 RAMBLEWOOD DR",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "193431140",
"telephone_number": "484-888-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STRODE AVE",
"city": "EAST FALLOWFIELD TOWNSHIP",
"state": "PA",
"postal_code": "193202874",
"telephone_number": "610-384-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUALTIERI",
"first_name": "LISA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "PA",
"license": "PT007925L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Fallowfield Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.