Steven James Pettineo, MPT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012797L Issued in PA

Practice address

12 Lea Dr
Chadds Ford, PA 19317-8983

Phone

(610) 420-4249

NPI assigned

Jun 12, 2006

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Temple University of the Commonwealth System of Higher Education

  dba Temple University Kornberg School of Dentistry

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1841268604
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1629010525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LEA DR",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178983",
            "telephone_number": "610-420-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LEA DR",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193178983",
            "telephone_number": "610-420-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINEO",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MPT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012797L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2060042",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2276127",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA HEALTH ASSURANCE / COVENTRY",
            "identifier": "877240",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102167301-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO",
            "identifier": "1629010525",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "40384PT012797L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dev B Patel, DDS
• Mitali Patel, (DMD)
• Nina M Patterson, LCSW
• Linda M. Peterson, LCSW
• Meredith Petruccelli, PHD, NCSP
• Philadelphia Health and Wellness,LLC. (Suboxonecare.com)
• Cecile Marie Pileggi, M.D.
• Platinum Dental Specialties, LLC
• Margaret Elizabeth Pope, LCSW
• Lily Marie Postus, OTR/L

• Physical Therapist in Chadds Ford, PA
• Providers in Chadds Ford, 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 9, 2023; 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.