Individual provider Active NPI

Gina Santoro, DPT

  • Physical Therapist
  • Hawley, PA
National Provider Identifier
1356065262
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030827 Issued in PA
Practice address
2489 Route 6 Ste 6
Hawley, PA 18428-6144
Phone
(570) 390-7900
Fax
(570) 390-7901
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 PT030827 PA Primary

Addresses

Primary practice location

2489 Route 6 Ste 6
Hawley, PA 18428-6144

Mailing address

2489 Route 6 Ste 6
Hawley, PA 18428-6144
Phone (570) 390-7900

Other identifiers 1

IdentifierTypeStateIssuer
PT030827OtherPAPA STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221205000807 PA Practitioner - Physical Therapist in Private Practice 9133598709 Reassigns benefits to 1 organization
I20250117003591 AZ Practitioner - Physical Therapist in Private Practice 9133598709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
Elmtree Wellness Center, Inc. CurrentSince Oct 3, 2022 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

21083 N John Wayne Pkwy
Ste C104
Maricopa, AZ 85139
Phone (520) 233-7555

25229 S Sun Lakes Blvd
Ste 119
Sun Lakes, AZ 85248
Phone (480) 883-6734

2489 Route 6
Ste 6
Hawley, PA 18428
Phone (570) 218-7909

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 4

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1356065262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 ROUTE 6 STE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184286144",
            "telephone_number": "570-390-7900",
            "fax_number": "570-390-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 ROUTE 6 STE 6",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184286144",
            "telephone_number": "570-390-7900",
            "fax_number": "570-390-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "GINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA STATE LICENSE NUMBER",
            "identifier": "PT030827",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.