Individual provider Active NPI

Deanna Santanello, P.T.

  • Physical Therapist
  • Brookline, MA
National Provider Identifier
1750702114
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20893 Issued in MA
Practice address
235 Cypress St
Suite 110
Brookline, MA 02445-6776
Phone
(781) 383-8767
Fax
(617) 731-4162
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 20893 MA Primary

Addresses

Primary practice location

235 Cypress St
Suite 110
Brookline, MA 02445-6776

Mailing address

235 Cypress St
Suite 110
Brookline, MA 02445-6776
Phone (781) 383-8767

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
20893MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1750702114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456776",
            "telephone_number": "781-383-8767",
            "fax_number": "617-731-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CYPRESS ST",
            "address_2": "SUITE 110",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456776",
            "telephone_number": "781-383-8767",
            "fax_number": "617-731-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANELLO",
        "first_name": "DEANNA",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

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