Anthony F Maddalo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI004243 Issued in PA

Practice address

300 E Winchester Ave
Langhorne, PA 19047-2250

Phone

(215) 750-7575

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1871152231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HIGHLAND AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190206403",
            "telephone_number": "215-370-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E WINCHESTER AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472250",
            "telephone_number": "215-750-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALO",
        "first_name": "ANTHONY",
        "middle_name": "F",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne J Freeman PSYD PC
• M&J Physical Therapy LLC
• John R Macaulay, D.D.S.
• Lindsay Alyse Machen, M.D.
• Linda M Mackleer, CRNA
• Gabrielle Cristine Maddalo, FNP-BC
• Mark Howard Magerman, PHD., LCSW
• Kelly Marie Mahon, PTA
• Neepa Mahulkar, OTR-L
• Raquel Elisa Maisel, M.S.W, L.S.W

• Physical Therapy Assistant in Langhorne, PA
• Providers in Langhorne, 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 Jun 10, 2019; 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.