Individual provider Active NPI

Isabella Cannavo, PT, DPT

  • Physical Therapist
  • Waymart, PA
National Provider Identifier
1801464920
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029525 Issued in PA
Practice address
314 Robinson Rd
Waymart, PA 18472-4570
Phone
(610) 419-9755
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 PT029525 PA Primary

Addresses

Primary practice location

314 Robinson Rd
Waymart, PA 18472-4570

Mailing address

5219 Surrey CT
Allentown, PA 18104-9640

Other names 1

  • Isabella Scangamor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315002339 PA Practitioner - Physical Therapist in Private Practice 8628414364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Physical Therapy IncGroup PAC ID 4981675709, 19 clinicians

Practice addresses (Care Compare)

103 Spruce St
Suite 101
Hawley, PA 18428-1149
Phone (570) 226-7303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy, Inc Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients

Locations

354 Main St
Forest City, PA 18421
Phone (570) 785-2018

103 Spruce St
#101
Hawley, PA 18428
Phone (570) 226-7303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1801464920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 SURREY CT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ROBINSON RD",
            "city": "WAYMART",
            "state": "PA",
            "postal_code": "184724570",
            "telephone_number": "610-419-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNAVO",
        "first_name": "ISABELLA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLA",
            "last_name": "SCANGAMOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waymart, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.