Active NPI
Allie Cordaro, PT, DPT
- Physical Therapy Clinic/Center
- Dunmore, PA
National Provider Identifier
1639624521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT025187
- Practice address
- 707 Shirley LN
Dunmore, PA 18512-2117 - Phone
- (570) 604-1337
- NPI assigned
- Aug 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2305210143 | VA | |
| Physical Therapy Clinic/Center | 261QP2000X | PT025187 | PA | Primary |
Addresses
Primary practice location
707 Shirley LN
Dunmore, PA 18512-2117
Mailing address
707 Shirley LN
Dunmore, PA 18512-2117
Phone (570) 604-1337
Other names 1
- Allie Donato
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220525000354 | PA | Practitioner - Physical Therapist in Private Practice | 0941687321 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT025187 | PA | MD | Physical Therapy Clinic/Center |
| 2305210143 | VA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Hospital | Current | Accepting new patients | |
| Lehigh Valley Hospital | Physical Therapy | Current | Accepting new patients |
Locations
707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001
700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170
Organizations & group practices 21
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.
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- Skilled Nursing Facility
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- NPI 1235198326
-
- Rehabilitation Hospital Unit
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- Diagnostic Radiology Physician
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- NPI 1326545898
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- Home Infusion Therapy Pharmacy
- Allentown, PA
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- Pulmonary Disease Physician
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- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Allentown, PA
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- Durable Medical Equipment & Medical Supplies
- Allentown, PA
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- Community/Retail Pharmacy
- Easton, PA
- NPI 1518541473
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lehigh Valley Hospital
Practice addresses (Care Compare)
707 Hamilton St
FL 4
Allentown, PA 18101-2407
Phone (484) 862-3001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1639624521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 SHIRLEY LN",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122117",
"telephone_number": "570-604-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SHIRLEY LN",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122117",
"telephone_number": "570-604-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDARO",
"first_name": "ALLIE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-20",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "2305210143",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PA",
"license": "PT025187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLIE",
"last_name": "DONATO",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.