Individual provider Active NPI

Anthony D Carrozzo

  • Physical Therapist
  • Chester, PA
National Provider Identifier
1144307109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003622L Issued in PA
Practice address
1 E Beacon Light LN
Chester, PA 19013-4409
Phone
(610) 619-0303
Fax
(610) 619-0305
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT003622L PA Primary

Addresses

Primary practice location

1 E Beacon Light LN
Chester, PA 19013-4409

Mailing address

414 Beechwood Ave
Haddonfield, NJ 08033-1105
Phone (215) 285-4105

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003622LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsport Physical Therapy Inc Physical Therapist 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144307109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BEECHWOOD AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331105",
            "telephone_number": "215-285-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E BEACON LIGHT LN",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134409",
            "telephone_number": "610-619-0303",
            "fax_number": "610-619-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROZZO",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003622L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.