Individual provider Active NPI

Dawn M Acacio, PT

  • Physical Therapist
  • Plains, PA
National Provider Identifier
1285700765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1086 Route 315
Pro Rehabilitation Services
Plains, PA 18702
Phone
(570) 823-7761
Fax
(570) 822-8033
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PA Primary

Addresses

Primary practice location

1086 Route 315
Pro Rehabilitation Services
Plains, PA 18702

Mailing address

1086 Route 315
Pro Rehabilitation Services
Plains, PA 18702
Phone (570) 823-7761

Other identifiers 7

IdentifierTypeStateIssuer
813833OtherFIRST PRIORITY
393511OtherHEALTH AMERICA ASSURANCE
393510OtherHEALTH AMERICA ASSURANCE
818037OtherFIRST PRIORITY
818038OtherFIRST PRIORITY
791843OtherBLUE SHIELD
388453OtherHEALTH AMERICA ASSURANCE

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

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285700765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 ROUTE 315",
            "address_2": "PRO REHABILITATION SERVICES",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 ROUTE 315",
            "address_2": "PRO REHABILITATION SERVICES",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-823-7761",
            "fax_number": "570-822-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACACIO",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "813833",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "393511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "393510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "818037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "818038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "791843",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA ASSURANCE",
            "identifier": "388453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.