Active NPI
Annette Dinallo
- Physical Therapist
- Broadview Heights, OH
National Provider Identifier
1053731000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003121
- Practice address
- 2525 E Royalton Rd
Broadview Heights, OH 44147-2840 - Phone
- (440) 717-1370
- Fax
- (440) 717-1520
- NPI assigned
- Apr 17, 2014
- Last updated
- Apr 17, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003121 | OH | Primary |
Addresses
Primary practice location
2525 E Royalton Rd
Broadview Heights, OH 44147-2840
Mailing address
6669 Willow Lake Dr
North Royalton, OH 44133-4983
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 |
|---|---|---|---|
| 003121 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1053731000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6669 WILLOW LAKE DR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441334983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 E ROYALTON RD",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441472840",
"telephone_number": "440-717-1370",
"fax_number": "440-717-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINALLO",
"first_name": "ANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "003121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadview Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.