Individual provider Active NPI

Jon Dal Santo, DPT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1942855218
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013400A Issued in IN
Practice address
11360 Broadway
Crown Point, IN 46307-7197
Phone
(219) 600-4656
NPI assigned
Aug 5, 2019
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05013400A IN
Physical Therapist 225100000X 05013400A IN Primary

Addresses

Primary practice location

11360 Broadway
Crown Point, IN 46307-7197

Mailing address

11360 Broadway
Crown Point, IN 46307-7197
Phone (219) 600-4656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930000385 IN Practitioner - Physical Therapist in Private Practice 8426388760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Specialists, P.C.Group PAC ID 8820018583, 22 clinicians

Practice addresses (Care Compare)

3691 Willowcreek Rd
Portage, IN 46368-5076
Phone (219) 921-1444

9001 Broadway
Merrillville, IN 46410-7041
Phone (219) 795-3360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013400AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Sep 4, 2019 Accepting new patients
Lakeshore Bone & Joint Institute, PC CurrentSince Dec 1, 2019 Accepting new patients

Locations

601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401

500 E 109th Ave
Crown Point, IN 46307

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

8840 Calumet Ave
Ste 103
Munster, IN 46321
Phone (219) 836-7246

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9200 Calumet Ave
Munster, IN 46321
Phone (219) 664-9232

3691 Willowcreek Rd
Portage, IN 46368
Phone (219) 759-4380

833 W Lincoln Hwy
Ste 110E
Schererville, IN 46375
Phone (219) 427-0700

Organizations & group practices 3

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1942855218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077197",
            "telephone_number": "219-600-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077197",
            "telephone_number": "219-600-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAL SANTO",
        "first_name": "JON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "05013400A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013400A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.