Individual provider Active NPI

Allie Cordaro, PT, DPT

  • Physical Therapy Clinic/Center
  • Dunmore, PA
National Provider Identifier
1639624521
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT025187 Issued in PA
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

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT025187PAMDPhysical Therapy Clinic/Center
2305210143VAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital CurrentSince Aug 1, 2022 Accepting new patients
Lehigh Valley Hospital Physical Therapy CurrentSince Aug 1, 2022 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.

View all 21

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 54 clinicians

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.

Verify at the official NPI Registry.