Amie Destefano

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1002775 Issued in PA

Practice address

1 Longsdorf Way
Carlisle, PA 17015-7623

Phone

(717) 245-9941

NPI assigned

Aug 20, 2014

Last updated

Mar 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1023417557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LUTHER RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONGSDORF WAY",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157623",
            "telephone_number": "717-245-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTEFANO",
        "first_name": "AMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1002775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Demichele, MD
• Sondra M Depalma, PA-C
• Tiffany Depaoli
• Judith Nihill Dericco, L.P.C.
• Jose Deschamps
• Michael Anthony Di Meo, PT, DPT
• Diakon Lutheran Social Ministries (Diakon Family Life Services)
• Borka Dickerson
• Paul Bryant Dickerson, PHD
• Dickinson College Health Center (Dickinson College)

• Physical Therapy Assistant in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.