Active NPI
Margaret M Donnelly, PTA
- Physical Therapy Assistant
- Prospect Park, PA
National Provider Identifier
1447473269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI000241
- Practice address
- 633 8TH Ave
Prospect Park, PA 19076-1502 - Phone
- (610) 583-0920
- NPI assigned
- Apr 10, 2007
- Last updated
- Nov 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE005104L | PA | |
| Physical Therapy Assistant | 225200000X | TEI000241 | PA | Primary |
Addresses
Primary practice location
633 8TH Ave
Prospect Park, PA 19076-1502
Mailing address
633 8TH Ave
Prospect Park, PA 19076-1502
Phone (610) 583-0920
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE005104L | PA | MD | Physical Therapy Assistant |
| TEI000241 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257552000000",
"number": "1447473269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 8TH AVE",
"city": "PROSPECT PARK",
"state": "PA",
"postal_code": "190761502",
"telephone_number": "610-583-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 8TH AVE",
"city": "PROSPECT PARK",
"state": "PA",
"postal_code": "190761502",
"telephone_number": "610-583-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "MARGARET",
"middle_name": "M",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2009-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE005104L",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI000241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prospect Park, PA
- Chesapeake Medical Supply, Inc (Philadelphia Rehab)
- David Derosa
- Randy W Dillon, MS,ATC,LAT, LMT, PES
- Divine Providence Village
- Stephen P Donahue, M.A.
- E & R Home Care Services of Pennsylvania LLC
- Family Chiropractic Wellness Center
- Gabrielle Fetters
- Joyce Ridgeway Foresman-Capuzzi, CNS
- Shweta Gandhi, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.