Tina Louise Azzano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013836L Issued in PA

Practice address

7310 Stenton Ave
Philadelphia, PA 19150-3412

Phone

(800) 278-0332

Fax

(800) 570-5001

NPI assigned

Sep 1, 2009

Last updated

Sep 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Tina Louise Azzano Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1174756530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974429",
            "telephone_number": "800-278-0332",
            "fax_number": "800-570-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503412",
            "telephone_number": "800-278-0332",
            "fax_number": "800-570-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZANO",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013836L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021715-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "AZZANO",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "PT,DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ifeanyi Azubuike
• Jennifer U Azubuike, PHARMD
• Oren Azulay, M.D.
• Eric Azvolinsky, PAC
• Shariffah Chuma Azzaam
• Jason Azzara, AG-ACNP
• Elizabeth Mae Azzato, MD
• Amjad Azzawe
• Yasmine Azzi, MD
• Rachel Azzolina, PHARMD

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.