Individual provider Active NPI

Tina Giannetta, PT

  • Physical Therapist
  • Scranton, PA
National Provider Identifier
1649294844
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-018183 Issued in PA
Practice address
240 Penn Ave
Mackarey & Mackarey Physcial Therapy Consultants, LLC
Scranton, PA 18503-1932
Phone
(570) 558-0290
Fax
(570) 558-0291
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-018183 PA Primary
Physical Therapist 225100000X PT018183 PA

Addresses

Primary practice location

240 Penn Ave
Mackarey & Mackarey Physcial Therapy Consultants, LLC
Scranton, PA 18503-1932

Mailing address

240 Penn Ave
Mackarey & Mackarey Physcial Therapy Consultants, LLC
Scranton, PA 18503-1932
Phone (570) 558-0290

Other identifiers 5

IdentifierTypeStateIssuer
001877184OtherBLUE SHIELD
2770965000OtherPAINDEPENDENCE BLUE SHIELD
1877184OtherPABLUE SHIELD
50063358OtherPACAPITAL BLUE CROSS
823040OtherPAFIRST PRIORITY HEALTH

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

LicenseStateTypeSpecialty
PT-018183PAMDPhysical Therapist
PT018183PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Physical Therapy Inc Physical Therapist Past Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist PastSince Jun 1, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1649294844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PENN AVE",
            "address_2": "MACKAREY & MACKAREY PHYSCIAL THERAPY CONSULTANTS, LLC",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031932",
            "telephone_number": "570-558-0290",
            "fax_number": "570-558-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PENN AVE",
            "address_2": "MACKAREY & MACKAREY PHYSCIAL THERAPY CONSULTANTS, LLC",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031932",
            "telephone_number": "570-558-0290",
            "fax_number": "570-558-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNETTA",
        "first_name": "TINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-018183",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "001877184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE SHIELD",
            "identifier": "2770965000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1877184",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50063358",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "823040",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.