Individual provider Active NPI

Michael Quinto Giuliani, P.T. M.P.T.,PH.D.

  • Physical Therapist
  • Roslyn, PA
National Provider Identifier
1881630960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007728L Issued in PA
Practice address
1345 Easton Rd
Roslyn, PA 19001-2401
Phone
(215) 885-2033
Fax
(215) 885-7408
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT007728L PA Primary

Addresses

Primary practice location

1345 Easton Rd
Roslyn, PA 19001-2401

Mailing address

109 Kent Dr
North Wales, PA 19454-1926
Phone (215) 661-8446

Other identifiers 5

IdentifierTypeStateIssuer
0001073672-02OtherUNITED HEALTH CARE
4319553OtherAETNA HEALTH PLAN
01618281MedicaidPA
0139879000OtherINDEPENDENCE BLUE CROSS
1112852OtherKEYSTONE MERCY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150513000880 PA Practitioner - Physical Therapist in Private Practice 0345277174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Rehabilitation and Sports Therapy PCGroup PAC ID 9032146956, 7 clinicians

Practice addresses (Care Compare)

170 W Germantown Pike
Suite C3
Norristown, PA 19401-1389
Phone (610) 279-6290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Rehabilitation & Sports Therapy, P.C. Physical Therapist CurrentSince Feb 2, 2015 Accepting new patients

Locations

170 W Germantown Pike
Ste C3
Norristown, PA 19401
Phone (610) 279-6290

1345 Easton Rd
Roslyn, PA 19001
Phone (215) 885-2022

1837 Davisville Rd
Willow Grove, PA 19090

1837 Davisville Rd
Frnt
Willow Grove, PA 19090
Phone (215) 885-2022

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881630960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KENT DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541926",
            "telephone_number": "215-661-8446",
            "fax_number": "215-661-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 EASTON RD",
            "city": "ROSLYN",
            "state": "PA",
            "postal_code": "190012401",
            "telephone_number": "215-885-2033",
            "fax_number": "215-885-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANI",
        "first_name": "MICHAEL",
        "middle_name": "QUINTO",
        "name_prefix": "Dr.",
        "credential": "P.T.    M.P.T.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007728L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0001073672-02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "4319553",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01618281",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0139879000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1112852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.