Domenic O Anthony Cerruti, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1001931 Issued in PA

Practice address

2869 Holme Ave
Philadelphia, PA 19152-2118

Phone

(215) 676-4070

Fax

(215) 676-4071

NPI assigned

Feb 24, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northeast Wellness Connection Inc

  • Physical Therapist
  • Phila, PA
  • NPI 1255381620
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1801036371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 MARTINDALE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191361820",
            "telephone_number": "215-676-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522118",
            "telephone_number": "215-676-4070",
            "fax_number": "215-676-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRUTI",
        "first_name": "DOMENIC O",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1001931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Cerra, RDN, LDN
• Patricia Eugenia Cerri-Droz
• Carmen Rosa Cerron Vela
• Janet Logan Cerrone, PA-C
• Kathleen Cerrone
• Julianna Cerruti, RDN
• Suzanne Cerruti, M. ED. L.B.S,
• Zachary Certa, MD
• Certified Perioperative Services LLC
• Laura Therese Cerulli, MAMT, MT-BC

• Physical Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.