NPIMap

Individual provider Active NPI

Valerie Pantanelli

  • Physical Therapist
  • Lemoyne, PA
National Provider Identifier
1710097365
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
110 N 7TH St
Lemoyne, PA 17043-1501
Phone
(717) 731-6094
Fax
(717) 731-6199
NPI assigned
Aug 30, 2006
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

110 N 7TH St
Lemoyne, PA 17043-1501

Mailing address

66 Cedar Ave
Hershey, PA 17033-1418
Phone (203) 788-0582

Other identifiers 4

IdentifierTypeStateIssuer
023635OtherPAPA LICENSE NUMBER
11759009OtherPACAQH
21890OtherMDLICENSE #
029223OtherNYNEW YORK LICENSE NUMBER

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
029223NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy, PLLC Physical Therapist PastSince Jan 21, 2022 Accepting new patients
Physical Therapy Services of Rochester PC Physical Therapist PastSince Oct 1, 2001 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1710097365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CEDAR AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331418",
            "telephone_number": "203-788-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 7TH ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431501",
            "telephone_number": "717-731-6094",
            "fax_number": "717-731-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANELLI",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "023635",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11759009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "21890",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK LICENSE NUMBER",
            "identifier": "029223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.