Individual provider Active NPI

Joanne Panzarella, PT

  • Physical Therapist
  • Pittsford, NY
National Provider Identifier
1881616373
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0093111 Issued in NY
Practice address
101 Sullys TRL
BLDG 20, Suite 9
Pittsford, NY 14534-4552
Phone
(585) 248-0015
Fax
(585) 248-0019
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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 0093111 NY Primary

Addresses

Primary practice location

101 Sullys TRL
BLDG 20, Suite 9
Pittsford, NY 14534-4552

Mailing address

101 Sullys TRL
BLDG 20, Suite 9
Pittsford, NY 14534-4552
Phone (585) 248-0015

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1881616373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SULLYS TRL",
            "address_2": "BLDG 20, SUITE 9",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344552",
            "telephone_number": "585-248-0015",
            "fax_number": "585-248-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SULLYS TRL",
            "address_2": "BLDG 20, SUITE 9",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344552",
            "telephone_number": "585-248-0015",
            "fax_number": "585-248-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZARELLA",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0093111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.