Alessandra B Pantinople, PT

Individual provider Active NPI Physical Therapist · Effort, PA

NPI 1013047646 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1013047646
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
Brookmont Drive
Effort, PA 18330
Phone
(610) 991-2034
Fax
(610) 438-2046
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services Inc (1,169 clinicians)

Practice addresses (Care Compare)

1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180529000502 PA Practitioner - Physical Therapist in Private Practice 4486919289 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

Brookmont Drive
Effort, PA 18330

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958
Phone (610) 991-2034

Other providers in Effort, PA

All providers in Effort, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.