Active NPI
Lauren Dellapenna, PTA
- Physical Therapy Assistant
- Kensington, MD
National Provider Identifier
1831637859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A4484
- Practice address
- 10810 Connecticut Ave
Kensington, MD 20895-2138 - Phone
- (301) 929-7100
- NPI assigned
- Feb 9, 2017
- 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 Therapy Assistant | 225200000X | A4484 | MD | Primary |
Addresses
Primary practice location
10810 Connecticut Ave
Kensington, MD 20895-2138
Mailing address
102 Park Ave
Apt 302
Gaithersburg, MD 20877-2928
Phone (610) 213-4320
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 |
|---|---|---|---|
| A4484 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1831637859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PARK AVE",
"address_2": "APT 302",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208772928",
"telephone_number": "610-213-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 CONNECTICUT AVE",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952138",
"telephone_number": "301-929-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLAPENNA",
"first_name": "LAUREN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A4484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.