Active NPI
Ann Marie Elizabeth Deantonio, PTA
- Physical Medicine & Rehabilitation Physician
- Tobyhanna, PA
National Provider Identifier
1194030734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- TE10000770
- Practice address
- 100 Community Dr
Tobyhanna, PA 18466-8985 - Phone
- (570) 839-9975
- Fax
- (570) 839-3395
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | TE10000770 | PA | Primary |
Addresses
Primary practice location
100 Community Dr
Tobyhanna, PA 18466-8985
Mailing address
100 Community Dr
Tobyhanna, PA 18466-8985
Phone (570) 839-9975
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
| License | State | Type | Specialty |
|---|---|---|---|
| TE10000770 | PA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1194030734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMUNITY DR",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184668985",
"telephone_number": "570-839-9975",
"fax_number": "570-839-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMUNITY DR",
"city": "TOBYHANNA",
"state": "PA",
"postal_code": "184668985",
"telephone_number": "570-839-9975",
"fax_number": "570-839-3395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANTONIO",
"first_name": "ANN MARIE",
"middle_name": "ELIZABETH",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "TE10000770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tobyhanna, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.