Individual provider Active NPI

Therese Irene Deninno, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1487644530
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050686 Issued in PA
Practice address
120 5TH Ave
Pittsburgh, PA 15222-3000
Phone
(412) 427-3390
Fax
(844) 978-2756
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050686 PA Primary

Addresses

Primary practice location

120 5TH Ave
Pittsburgh, PA 15222-3000

Mailing address

120 5TH Ave
Pittsburgh, PA 15222-3000
Phone (412) 427-3390

Other names 1

  • Tria Deninno Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000515 PA Practitioner - Physician Assistant 4587649041 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050686PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endorsed LLC Current Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Oct 30, 2001 Accepting new patients
Valley Medical Facilities Inc CurrentSince Oct 30, 2001 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1487644530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223000",
            "telephone_number": "412-427-3390",
            "fax_number": "844-978-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223000",
            "telephone_number": "412-427-3390",
            "fax_number": "844-978-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENINNO",
        "first_name": "THERESE",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRIA",
            "last_name": "DENINNO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.