Individual provider Active NPI

Stephen Ciaudelli

  • Home Health Agency
  • Fort Washington, PA
National Provider Identifier
1245658806
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PT013840L Issued in PA
Practice address
420 Delaware Dr
Fort Washington, PA 19034-2711
Phone
(215) 661-8330
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT013840L PA
Home Health Agency 251E00000X PT013840L PA Primary

Addresses

Primary practice location

420 Delaware Dr
Fort Washington, PA 19034-2711

Mailing address

93 Crystal Dr
Schwenksville, PA 19473-1764

Other practice location 1

1777 Sentry Parkway West
Suite 101
Blue Bell, PA 19422-2227
Phone (610) 277-1100

Other practice location 2

93 Crystal Dr
Schwenksville, PA 19473-1764
Phone (267) 664-4091

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

State licenses

LicenseStateTypeSpecialty
PT013840LPAMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1245658806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CRYSTAL DR",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194731764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342711",
            "telephone_number": "215-661-8330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Sentry Parkway West",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194222227",
            "country_code": "US",
            "telephone_number": "610-277-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 Crystal Dr",
            "address_purpose": "LOCATION",
            "city": "Schwenksville",
            "state": "PA",
            "postal_code": "194731764",
            "country_code": "US",
            "telephone_number": "267-664-4091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIAUDELLI",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT013840L",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "PT013840L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.