Active NPI
Jenna Marie Dimenno, CPO
- Orthotist
- Pittsburgh, PA
National Provider Identifier
1255825311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 3424 Liberty Ave
Pittsburgh, PA 15201-1323 - Phone
- (412) 622-2020
- NPI assigned
- Jun 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotist | 222Z00000X | Primary |
Addresses
Primary practice location
3424 Liberty Ave
Pittsburgh, PA 15201-1323
Mailing address
3424 Liberty Ave
Pittsburgh, PA 15201-1323
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1255825311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 LIBERTY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152011323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 LIBERTY AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152011323",
"telephone_number": "412-622-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMENNO",
"first_name": "JENNA",
"middle_name": "MARIE",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.