Individual provider Active NPI

Dennis R Pronowicz, P.T.

  • Physical Therapist
  • South Hadley, MA
National Provider Identifier
1518032283
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1886 Issued in MA
Practice address
138 College St
Suite 3
South Hadley, MA 01075-1415
Phone
(413) 532-9913
Fax
(413) 532-9054
NPI assigned
Nov 21, 2006
Last updated
Mar 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1886 MA Primary

Addresses

Primary practice location

138 College St
Suite 3
South Hadley, MA 01075-1415

Mailing address

PO Box 261
South Hadley, MA 01075-0261
Phone (413) 532-9913

Other identifiers 4

IdentifierTypeStateIssuer
5780887OtherMACIGNA
725535OtherMATUFTSHEALTHPLAN
0335843MedicaidMA
Y65104OtherMABLUECROSSBLUESHIELD

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

LicenseStateTypeSpecialty
1886MAMDMarriage & Family Therapist

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1518032283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010750261",
            "telephone_number": "413-532-9913",
            "fax_number": "413-532-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 COLLEGE ST",
            "address_2": "SUITE 3",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751415",
            "telephone_number": "413-532-9913",
            "fax_number": "413-532-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRONOWICZ",
        "first_name": "DENNIS",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "1886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5780887",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTSHEALTHPLAN",
            "identifier": "725535",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335843",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "Y65104",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.