Individual provider Active NPI

Donna Ann Desanto Ott, PT, MS

  • Physical Therapist
  • Reading, PA
National Provider Identifier
1124417266
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001905E Issued in PA
Practice address
111 Meadowlark Rd
Reading, PA 19606-9441
Phone
(484) 374-0205
Fax
(610) 987-9108
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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 PT001905E PA Primary

Addresses

Primary practice location

111 Meadowlark Rd
Reading, PA 19606-9441

Mailing address

111 Meadowlark Rd
Reading, PA 19606-9441
Phone (484) 374-0205

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT001905EPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1124417266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MEADOWLARK RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069441",
            "telephone_number": "484-374-0205",
            "fax_number": "610-987-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MEADOWLARK RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069441",
            "telephone_number": "484-374-0205",
            "fax_number": "610-987-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTO OTT",
        "first_name": "DONNA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT001905E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.