Individual provider Active NPI

Donna Marie Fedena, P.T.A

  • Physical Therapy Assistant
  • Glenolden, PA
National Provider Identifier
1154852804
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE011328 Issued in PA
Practice address
901 W. Ashland Ave.
Glenolden, PA 19036
Phone
(484) 494-5604
Fax
(610) 461-7423
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

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
TE011328PAMDPhysical Therapy Assistant

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE011328 PA Primary

Addresses

Primary practice location

901 W. Ashland Ave.
Glenolden, PA 19036

Mailing address

901 W. Ashland Ave.
Glenolden, PA 19036
Phone (484) 494-5604

Other names 1

  • Donna Marie Giordano Former name

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1154852804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W. ASHLAND AVE.",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "19036",
            "telephone_number": "484-494-5604",
            "fax_number": "610-461-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W. ASHLAND AVE.",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "19036",
            "telephone_number": "484-494-5604",
            "fax_number": "610-461-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDENA",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE011328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "GIORDANO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenolden, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.