Active NPI
Cynthia O'Donnell
- Physical Therapist
- Glenmoore, PA
National Provider Identifier
1902932080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-007237-L
- Practice address
- 32 McLeod Pond Rd
Glenmoore, PA 19343-9582 - Phone
- (484) 459-2314
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT-007237-L | PA | Primary |
Addresses
Primary practice location
32 McLeod Pond Rd
Glenmoore, PA 19343-9582
Mailing address
32 McLeod Pond Rd
Glenmoore, PA 19343
Phone (484) 459-2314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019332840001 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-007237-L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902932080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 MCLEOD POND RD",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "19343",
"telephone_number": "484-459-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MCLEOD POND RD",
"city": "GLENMOORE",
"state": "PA",
"postal_code": "193439582",
"telephone_number": "484-459-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-007237-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019332840001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenmoore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.