Active NPI
Nicole D Santoriello, PT, DPT
- Physical Therapist
- Brookville, PA
National Provider Identifier
1770848988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019529
- Practice address
- 2687 Maplevale Rd
Brookville, PA 15825-4755 - Phone
- (814) 849-2442
- Fax
- (814) 849-5190
- NPI assigned
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019529 | PA | Primary |
Addresses
Primary practice location
2687 Maplevale Rd
Brookville, PA 15825-4755
Mailing address
430 Innovation Dr
Blairsville, PA 15717-8096
Phone (724) 343-4060
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019529 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1770848988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 INNOVATION DR",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157178096",
"telephone_number": "724-343-4060",
"fax_number": "724-343-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2687 MAPLEVALE RD",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158254755",
"telephone_number": "814-849-2442",
"fax_number": "814-849-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORIELLO",
"first_name": "NICOLE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.