Charles D Disanto, PT,COMT,CHT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT07840 Issued in OH

Practice address

1 E Willard Ave
Suite B
Norwalk, OH 44857-1155

Phone

(419) 660-0876

Fax

(419) 660-9104

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Health

  • Physical Therapist
  • Sandusky, OH
  • NPI 1831162973
  NPD (past)
• Northern Ohio Medical Specialists, LLC

  • Radiology Clinic/Center
  • Sheffield Village, OH
  • NPI 1508811332
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1023198512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 STATE ROUTE 269 S",
            "city": "CASTALIA",
            "state": "OH",
            "postal_code": "448249356",
            "telephone_number": "419-684-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E WILLARD AVE",
            "address_2": "SUITE B",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448571155",
            "telephone_number": "419-660-0876",
            "fax_number": "419-660-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTO",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "PT,COMT,CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT07840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2471507",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dennison
• Christina Marie Dewitt, COTA/L
• Concetta Di Rosa
• Joyce Marie Diaz, L.P.N.
• Nicholas Dillon
• Discount Drug Mart Inc
• Megan D Dodge, ATC, DPT
• Kaylinn Dokken, DO
• Kareem Rozanne Dolce, DPM
• Marc D Dolce, DPM

• All providers in Norwalk, OH
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.