Nicole Catherine Lannutti, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI000378 Issued in PA

Practice address

2420 S Opal St
Philadelphia, PA 19145-4216

Phone

(267) 246-3252

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1518210491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S OPAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454216",
            "telephone_number": "267-246-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S OPAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454216",
            "telephone_number": "267-246-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNUTTI",
        "first_name": "NICOLE",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lankalis, DDS
• Paul N Lanken, MD
• Kenneth Michael Lankin, MD
• Melissa Ann Lanning-Hart, CRNP
• Rachel Lanning
• Pat A. Lannutti, DO
• Gary Sabatine Lanoce, DO
• Lansdowne Ave Pharmacy
• Lansdowne Community Pharmacy Inc
• Amy K Lansman, MD

• Physical Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, 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 Oct 17, 2012; 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.