Individual provider Active NPI

Anna Marie Dinisio, DPT

  • Physical Therapist
  • Moorestown, NJ
National Provider Identifier
1245565498
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01250700 Issued in NJ
Practice address
101 Executive Dr Ste 9
Moorestown, NJ 08057-4236
Phone
(856) 793-1754
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 40QA01250700 NJ Primary

Addresses

Primary practice location

101 Executive Dr Ste 9
Moorestown, NJ 08057-4236

Mailing address

101 Executive Dr Ste 9
Moorestown, NJ 08057-4236
Phone (856) 793-1754

Other names 1

  • Anna Marie Sacchetti Former name

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
Integrated Medication Management PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1245565498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR STE 9",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574236",
            "telephone_number": "856-793-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EXECUTIVE DR STE 9",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574236",
            "telephone_number": "856-793-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINISIO",
        "first_name": "ANNA MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01250700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA MARIE",
            "last_name": "SACCHETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.