Active NPI
Arianne Missimer, DPT
- Physical Therapist
- Downingtown, PA
National Provider Identifier
1265745319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020673
- Practice address
- 101 Manor Ave
Downingtown, PA 19335-2601 - Phone
- (302) 373-2394
- NPI assigned
- Jul 19, 2010
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN006907 | PA | |
| Physical Therapist | 225100000X | PT020673 | PA | Primary |
Addresses
Primary practice location
101 Manor Ave
Downingtown, PA 19335-2601
Mailing address
101 Manor Ave
Downingtown, PA 19335-2601
Phone (302) 373-2394
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN006907 | PA | MD | Registered Dietitian |
| PT020673 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1265745319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANOR AVE",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193352601",
"telephone_number": "302-373-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANOR AVE",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193352601",
"telephone_number": "302-373-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSIMER",
"first_name": "ARIANNE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006907",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT020673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downingtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.