Annelise Maria Depaulo, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT6309 Issued in ME

Practice address

45 Western Ave
South Portland, ME 04106-2411

Phone

(207) 772-2625

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adepaulo@sacobaypt.com

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.

• Lehigh Valley Hospital

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1356769616

  Orthopedic

  Medicare reassignment NPD
• Lehigh Valley Hospital

  • Psychiatric Hospital Unit
  • Bethlehem, PA
  • NPI 1609834001
  NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1194443572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BRACKETT ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023970",
            "telephone_number": "484-903-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062411",
            "telephone_number": "207-772-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAULO",
        "first_name": "ANNELISE",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "PT6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADepaulo@sacobaypt.com",
            "affiliation": "N",
            "address_1": "45 Western Ave",
            "city": "South Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041062411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher D Delenick, OT
• Mary P Delois, RN,MSN,F.N.P.-C
• Colleen M Demers, LCPC-CC
• Jayne Denehy
• Dentistryone of Maine Derek Weigand PC
• Dina Derrick
• Dial Medical Direct Inc
• Kelly Ann Diaz-Hyde, LCSW
• Judith Lynn Dickson, AGACNP
• Daniel J Diekema, MD

• Orthopedic Physical Therapist in South Portland, ME
• Providers in South Portland, ME by specialty
• Orthopedic Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.