Active NPI
Elizabeth Dentremont, LPT
- Orthopedic Physical Therapist
- Paoli, PA
National Provider Identifier
1386650240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 250 Lancanter Ave
#225
Paoli, PA 19301 - Phone
- (610) 651-8282
- Fax
- (610) 651-8283
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | NU | Primary |
Addresses
Primary practice location
250 Lancanter Ave
#225
Paoli, PA 19301
Mailing address
250 Lancanter Ave
#225
Paoli, PA 19301
Phone (610) 651-8282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1606882 | Other | BLUE CROSS BLUE SHIELD | |
| 2284912000 | Other | PERSONAL CHOICE 65 |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386650240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 LANCANTER AVE",
"address_2": "#225",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "610-651-8282",
"fax_number": "610-651-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 LANCANTER AVE",
"address_2": "#225",
"city": "PAOLI",
"state": "PA",
"postal_code": "19301",
"telephone_number": "610-651-8282",
"fax_number": "610-651-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTREMONT",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1606882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE 65",
"identifier": "2284912000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Paoli, 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.