Active NPI
Frank Digiovannantonio, CHT
- Occupational Therapist
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 02649
- Practice address
- 10 Saint Patricks Dr
Suite 401
Waldorf, MD 20603-4527 - Phone
- (301) 870-7366
- Fax
- (301) 870-6717
- NPI assigned
- Oct 4, 2005
- Last updated
- May 15, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 02649 | MD | Primary |
Addresses
Primary practice location
10 Saint Patricks Dr
Suite 401
Waldorf, MD 20603-4527
Mailing address
10 Saint Patricks Dr
Suite 401
Waldorf, MD 20603-4527
Phone (301) 870-7366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 796704700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22715 Washington St
Leonardtown, MD 20650-0309
Phone (301) 997-0172
3320 Crain Hwy
Waldorf, MD 20603-4850
Phone (301) 870-7366
7905 Malcolm Rd
Suite 201
Clinton, MD 20735-1749
Phone (301) 856-0050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02649 | MD | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Maryland Physical Therapy, Inc | Past | Accepting new patients | |
| Proflex Physical Therapy of Maryland, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
- NPI 1558714824
DC
-
- Physical Medicine & Rehabilitation Physician
- Leonardtown, MD
- NPI 1841748316
-
dba Rehabilitation Center of Southern Maryland
- Physical Medicine & Rehabilitation Physician
- Waldorf, MD
- NPI 1609877646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1194712190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SAINT PATRICKS DR",
"address_2": "SUITE 401",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034527",
"telephone_number": "301-870-7366",
"fax_number": "301-870-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SAINT PATRICKS DR",
"address_2": "SUITE 401",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034527",
"telephone_number": "301-870-7366",
"fax_number": "301-870-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIOVANNANTONIO",
"first_name": "FRANK",
"name_prefix": "Mr.",
"credential": "CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "02649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "796704700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.