Andrew Depietropaolo, PT, DPT, MS, ATC
Individual provider Active NPI Physical Therapist · Hockessin, DE
NPI 1285024752 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1285024752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 003444 (WV)
- Practice address
- 100 Fitness Way
Hockessin, DE 19707-2423 - Phone
- (302) 540-0965
- NPI assigned
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 003444 | WV | MD | Physical Therapist |
| J3-0000423 | DE | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 003444 | WV | Yes |
| Athletic Trainer | 2255A2300X | J3-0000423 | DE |
Addresses
Primary practice location
100 Fitness Way
Hockessin, DE 19707-2423
Mailing address
11 Lindsey PL
Wilmington, DE 19809-2254
NPI Registry JSON
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1285024752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LINDSEY PL",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198092254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 FITNESS WAY",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197072423",
"telephone_number": "302-540-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPIETROPAOLO",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "PT, DPT, MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-04",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT 003444",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J3-0000423",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hockessin, DE
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- Michelle A Denn
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- Ranna D Desai
- Priya Angela Devotta
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- Aaron Dincher
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All providers in Hockessin, DE · Physical Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.