Individual provider Active NPI

Amanda Gianni, DPT

  • Physical Therapist
  • Kennett Square, PA
National Provider Identifier
1508808080
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018939 Issued in PA
Practice address
400 McFarlan Rd
Kennett Square, PA 19348-2477
Phone
(610) 925-4901
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J10002013 DE
Physical Therapist 225100000X PT018939 PA Primary

Addresses

Primary practice location

400 McFarlan Rd
Kennett Square, PA 19348-2477

Mailing address

400 McFarlan Rd
Kennett Square, PA 19348-2477
Phone (610) 925-4901

Other names 1

  • Amanda Cariello Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000015 PA Practitioner - Physical Therapist in Private Practice 8325063951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopaedic and Sports Medicine Associates, LTDGroup PAC ID 5890681092, 218 clinicians

Practice addresses (Care Compare)

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

400 McFarlan Rd
Suite 100
Kennett Square, PA 19348-2477
Phone (610) 925-4901

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10002013DEMDPhysical Therapist
PT018939PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince Nov 1, 2010 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince Nov 1, 2010 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients
Foulk Road Physical Therapy Physical Therapist Past Accepting new patients
Vsports Rehabilitation, LLC Physical Therapist Past Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

400 McFarlan Rd
Ste 100
Kennett Square, PA 19348
Phone (610) 444-1344

400 McFarlan Rd
Kennett Square, PA 19348
Phone (610) 925-4863

3809 West Chester Pike
Ste 150
Newtown Square, PA 19073
Phone (484) 356-9401

Interoperability endpoints

  • Direct secure messaging: amanda.gianni.1@22724.direct.athenahealth.com

Organizations & group practices 6

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1508808080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "610-925-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MCFARLAN RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193482477",
            "telephone_number": "610-925-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNI",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10002013",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CARIELLO",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.