Individual provider Active NPI

Elizabeth Anne Dannunzio, MSPT

  • Physical Therapist
  • La Mesa, CA
National Provider Identifier
1093959934
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32670 Issued in CA
Practice address
7862 El Cajon Blvd
La Mesa, CA 91941-3712
Phone
(619) 644-6452
Fax
(619) 466-7528
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32670 CA Primary

Addresses

Primary practice location

7862 El Cajon Blvd
La Mesa, CA 91941-3712

Mailing address

7862 El Cajon Blvd
La Mesa, CA 91941-3712
Phone (619) 644-6452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000508 NY Practitioner - Physical Therapist in Private Practice 1254568561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Thrive Integrated Physical Therapy PCGroup PAC ID 9739152935, 10 clinicians

Practice addresses (Care Compare)

594 Broadway
RM 702
New York, NY 10012-3257
Phone (212) 254-7750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32670CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Integrated Physical Therapy, PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

594 Broadway
Ste 702
New York, NY 10012
Phone (212) 254-7750

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.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1093959934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 EL CAJON BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413712",
            "telephone_number": "619-644-6452",
            "fax_number": "619-466-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7862 EL CAJON BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413712",
            "telephone_number": "619-644-6452",
            "fax_number": "619-466-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNUNZIO",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.