Individual provider Active NPI

David J Pignatello, PT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1285610360
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2257 Issued in FL
Practice address
5088 66TH St N
St Petersburg, FL 33709-3120
Phone
(727) 541-2675
Fax
(727) 541-3956
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005375 FL
Physical Therapist 225100000X PT2257 FL Primary

Addresses

Primary practice location

5088 66TH St N
St Petersburg, FL 33709-3120

Mailing address

5088 66TH St N
St Petersburg, FL 33709-3120
Phone (727) 541-2675

Other identifiers 2

IdentifierTypeStateIssuer
050218901MedicaidFL
050218900MedicaidFL

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
CH0005375FLMDChiropractor
PT2257FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic Surgery of Hyde Park Inc Chiropractor Past Accepting new patients
Millennium Medical Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1285610360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5088 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337093120",
            "telephone_number": "727-541-2675",
            "fax_number": "727-541-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5088 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337093120",
            "telephone_number": "727-541-2675",
            "fax_number": "727-541-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGNATELLO",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005375",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050218901",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050218900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.