Individual provider Active NPI

Erin M Donnelly, PHYSICAL THERAPY ASS

  • Physical Therapy Assistant
  • Langhorne, PA
National Provider Identifier
1003882580
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE012511 Issued in PA
Practice address
133 E Maple Ave FL 2
Langhorne, PA 19047-2186
Phone
(267) 982-3623
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT003487 PA
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X TE012511 PA Primary

Addresses

Primary practice location

133 E Maple Ave FL 2
Langhorne, PA 19047-2186

Mailing address

133 E Maple Ave FL 2
Langhorne, PA 19047-2186
Phone (267) 982-3623

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

LicenseStateTypeSpecialty
TE012511PAMDPhysical Therapy Assistant
RT003487PAMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1003882580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MAPLE AVE FL 2",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472186",
            "telephone_number": "267-982-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAPLE AVE FL 2",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472186",
            "telephone_number": "267-982-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPY ASS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003487",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE012511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.