Active NPI
Maryanne Cardelli, PT
- Physical Therapist
- Trevose, PA
National Provider Identifier
1578760104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006337L
- Practice address
- 339- East Street Road
Trevose, PA 19053 - Phone
- (267) 574-8110
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- 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 | PT006337L | PA | Primary |
Addresses
Primary practice location
339- East Street Road
Trevose, PA 19053
Mailing address
3565 Post Rd
Huntingdon Valley, PA 19006-3240
Phone (215) 880-9625
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 |
|---|---|---|---|
| PT006337L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Medical and Diagnostic, PC | Past | Accepting new patients | |
| Health Source Rehabilitation Inc | Past | Accepting new patients | |
| David Trumbore, PT, DPT, PC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- maryanne.cardelli.1@14940.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Physical Therapist
- Huntingdon Valley, PA
- NPI 1730284100
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1881900868
-
- Physical Medicine & Rehabilitation Physician
- Huntingdon Valley, PA
- NPI 1811167224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578760104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3565 POST RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190063240",
"telephone_number": "215-880-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339- EAST STREET ROAD",
"city": "TREVOSE",
"state": "PA",
"postal_code": "19053",
"telephone_number": "267-574-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDELLI",
"first_name": "MARYANNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006337L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trevose, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.