Individual provider Active NPI

Anthony Joseph Sacerino, DPT

  • Physical Therapist
  • Ellwood City, PA
National Provider Identifier
1235427907
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020749 Issued in PA
Practice address
324 Wampum Ave
Ellwood City, PA 16117-1213
Phone
(724) 758-6888
Fax
(724) 758-6880
NPI assigned
Jul 15, 2011
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020749 PA Primary

Addresses

Primary practice location

324 Wampum Ave
Ellwood City, PA 16117-1213

Mailing address

324 Wampum Ave
Ellwood City, PA 16117-1213
Phone (724) 758-6888

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1164463519 Past Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1235427907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 WAMPUM AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171213",
            "telephone_number": "724-758-6888",
            "fax_number": "724-758-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WAMPUM AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171213",
            "telephone_number": "724-758-6888",
            "fax_number": "724-758-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACERINO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.