Individual provider Active NPI

Vincent Sangiuliano

  • Physical Therapist
  • Newtown, PA
National Provider Identifier
1306556436
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014627 Issued in DE
Practice address
115 Pheasant Run Ste 215
Newtown, PA 18940-1886
Phone
(215) 550-6109
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT030994 PA
Physical Therapist 225100000X J1-0014627 DE Primary

Addresses

Primary practice location

115 Pheasant Run Ste 215
Newtown, PA 18940-1886

Mailing address

2425 S Garnet St
Philadelphia, PA 19145-4227
Phone (215) 528-0114

Other practice location 1

4005 Ludlow St
Philadelphia, PA 19104-5826
Phone (267) 529-0050

Other practice location 2

800 N Delaware Ave
Philadelphia, PA 19123-3181
Phone (267) 519-3328

Other practice location 3

2714 Philadelphia Pike
Claymont, DE 19703-2568
Phone (302) 888-9480

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
J1-0014627DEMDPhysical Therapist
PT030994PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients
Ivyrehab Delaware LLC Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients

Locations

2714 Philadelphia Pike
Claymont, DE 19703
Phone (302) 408-7310

907 S Chapel St
Unit 180
Newark, DE 19713
Phone (302) 408-7310

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

4005 Ludlow St
Philadelphia, PA 19104
Phone (267) 529-0050

Organizations & group practices 3

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1306556436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S GARNET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454227",
            "telephone_number": "215-528-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PHEASANT RUN STE 215",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401886",
            "telephone_number": "215-550-6109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 Ludlow St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045826",
            "country_code": "US",
            "telephone_number": "267-529-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191233181",
            "country_code": "US",
            "telephone_number": "267-519-3328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2714 Philadelphia Pike",
            "address_purpose": "LOCATION",
            "city": "Claymont",
            "state": "DE",
            "postal_code": "197032568",
            "country_code": "US",
            "telephone_number": "302-888-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGIULIANO",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030994",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.