Active NPI
Donna Caruso, P.T.
- Physical Therapist
- Malvern, PA
National Provider Identifier
1417364001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007060L
- Practice address
- 700 Admiral Nelson Drive
Crewcare at Vanguard
Malvern, PA 19355 - Phone
- (610) 669-9355
- NPI assigned
- Jul 16, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007060L | PA | Primary |
Addresses
Primary practice location
700 Admiral Nelson Drive
Crewcare at Vanguard
Malvern, PA 19355
Mailing address
700 Admiral Nelson Drive
Crewcare at Vanguard
Malvern, PA 19355
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT007060L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Pennsylvania Medical PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Crew Care Center
- General Practice Physician
- Malvern, PA
- NPI 1245530914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1417364001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ADMIRAL NELSON DRIVE",
"address_2": "CREWCARE AT VANGUARD",
"city": "MALVERN",
"state": "PA",
"postal_code": "19355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ADMIRAL NELSON DRIVE",
"address_2": "CREWCARE AT VANGUARD",
"city": "MALVERN",
"state": "PA",
"postal_code": "19355",
"telephone_number": "610-669-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUSO",
"first_name": "DONNA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007060L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.