Active NPI
Kevin M Digiulio, DPT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1508299850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-022980
- Practice address
- 7508 Loretto Ave
Philadelphia, PA 19111-3833 - Phone
- (267) 399-3789
- Fax
- (267) 388-9110
- NPI assigned
- Aug 9, 2013
- Last updated
- Nov 12, 2015
- Sex
- Male
- 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 | PT-022980 | PA | Primary |
Addresses
Primary practice location
7508 Loretto Ave
Philadelphia, PA 19111-3833
Mailing address
7508 Loretto Ave
Philadelphia, PA 19111-3833
Phone (267) 408-0398
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 |
|---|---|---|---|
| PT-022980 | PA | MD | Physical Therapist |
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.
-
- Physical Therapy Clinic/Center
- Phila, PA
- NPI 1568835601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1508299850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7508 LORETTO AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113833",
"telephone_number": "267-408-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7508 LORETTO AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113833",
"telephone_number": "267-399-3789",
"fax_number": "267-388-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIULIO",
"first_name": "KEVIN",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-09",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-022980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.