Jesse Santarelli, BS, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI005180 Issued in PA

Practice address

2872 Turnpike St
Susquehanna, PA 18847-2771

Phone

(570) 853-3135

NPI assigned

Jul 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1477039436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BASALYGA ST",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341122",
            "telephone_number": "570-862-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTARELLI",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "BS, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI005180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Pohutsky, MD
• Reddon Drug Co. Inc.
• Reddon Pharmacy
• Kathleen Reddon, PHARMACIS
• Julie Aileen Rowe, L.AC
• Mahendra K. Shah, MD
• Margaret Smith, MS CRNP
• Brandea R Sparks, AGPCNP
• Nicole Ann Suhadolnik, FNP-C
• Susquehanna Community School District

• Physical Therapy Assistant in Susquehanna, PA
• Providers in Susquehanna, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.