Individual provider Active NPI

Daniel David Picarella, ATC/LAT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Hollidaysburg, PA
National Provider Identifier
1457692865
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
RT005112 Issued in PA
Practice address
715 Penn St Apt 2
Hollidaysburg, PA 16648-1568
Phone
(570) 985-9961
NPI assigned
Mar 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X RT005112 PA Primary

Addresses

Primary practice location

715 Penn St Apt 2
Hollidaysburg, PA 16648-1568

Mailing address

715 Penn St Apt 2
Hollidaysburg, PA 16648-1568
Phone (570) 985-9961

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

LicenseStateTypeSpecialty
RT005112PAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1457692865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 PENN ST APT 2",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481568",
            "telephone_number": "570-985-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 PENN ST APT 2",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166481568",
            "telephone_number": "570-985-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARELLA",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "credential": "ATC/LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "RT005112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.