Michael Carnuccio

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029300 Issued in PA

Practice address

200 Municipal Dr Ste 2
Thorndale, PA 19372-1057

Phone

(484) 378-7987

NPI assigned

Feb 23, 2021

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creekside Physical Therapy and RehabilitationGroup PAC ID 2163892597, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Creekside Physical Therapy and Rehabilitation

  • Physical Therapy Clinic/Center
  • Thorndale, PA
  • NPI 1518680818

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1649864356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 BRADFORD TER",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193821998",
            "telephone_number": "484-889-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MUNICIPAL DR STE 2",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721057",
            "telephone_number": "484-378-7987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Downingtown",
            "state": "PA",
            "postal_code": "193353058",
            "country_code": "US",
            "telephone_number": "610-518-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNUCCIO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Brubaker, DPT
• Deanne Butcher, CRNP
• Nathan Candelaria, PT, DPT, ART
• Julia Capone, BSN, RN
• Robert Anthony Cardie, DPT
• Michael F Carnuccio, D.O.
• Jacqueline Lee Cavallero, CRNP
• Antonio J Chamoun, M.D.
• Drew R Chronister, MD
• Coatesville Cardiology Clinic LLC

• Physical Therapist in Thorndale, PA
• Providers in Thorndale, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.