Individual provider Active NPI

Dana Jean Marchionda, P.T.

  • Physical Therapist
  • Beaver, PA
National Provider Identifier
1104093426
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013117L Issued in PA
Practice address
310 Wayne St
Beaver, PA 15009-2252
Phone
(724) 728-0440
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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 PT013117L PA Primary

Addresses

Primary practice location

310 Wayne St
Beaver, PA 15009-2252

Mailing address

3007 School St
Aliquippa, PA 15001-5120
Phone (724) 728-0444

Other identifiers 1

IdentifierTypeStateIssuer
001889195MedicaidPA

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

LicenseStateTypeSpecialty
PT013117LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hap Enterprises Inc Past Accepting new patients

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1104093426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 SCHOOL ST",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150015120",
            "telephone_number": "724-728-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WAYNE ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092252",
            "telephone_number": "724-728-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHIONDA",
        "first_name": "DANA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013117L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001889195",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.