Annamaria Geraldine Concannon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005912-L Issued in PA

Practice address

356 Highland Ave
Berwyn, PA 19312-1627

Phone

(484) 437-2294

NPI assigned

Oct 27, 2018

Last updated

Oct 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pennsylvania Luna Care Physical Therapy LLC

  • Physical Therapist
  • Horsham, PA
  • NPI 1528689445
  Medicare reassignment NPD

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

{
    "created_epoch": "1540598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1568939643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 HIGHLAND AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121627",
            "telephone_number": "484-437-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 HIGHLAND AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121627",
            "telephone_number": "484-437-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCANNON",
        "first_name": "ANNAMARIA",
        "middle_name": "GERALDINE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-27",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005912-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Ciocca
• Joann Clark
• Clinical Car Associates of the U of PA Health (Penn Medicine Valley Forge)
• Collaboration Health (Cardiac Risk Assessment and Prevention)
• Lauren Elizabeth Conaway
• Avery Connolly
• Margaret M Corboy, MD
• Cornerstone Caregiving East LLC
• Couples and Family Wellness Center LLC
• Creative Chiropractic Solutions, PLLC

• Physical Therapist in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.