Active NPI
Suzanne Marie Fornataro, PT
- Physical Therapist
- Ellwood City, PA
National Provider Identifier
1962761718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-008420-L
- Practice address
- 724 Pershing St
Ellwood City, PA 16117-1474 - Phone
- (724) 752-0081
- Fax
- (724) 752-0966
- NPI assigned
- May 15, 2012
- Last updated
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
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-008420-L | PA | Primary |
Addresses
Primary practice location
724 Pershing St
Ellwood City, PA 16117-1474
Mailing address
724 Pershing St
Ellwood City, PA 16117-1474
Phone (724) 752-0081
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-008420-L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1962761718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 PERSHING ST",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161171474",
"telephone_number": "724-752-0081",
"fax_number": "724-752-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 PERSHING ST",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161171474",
"telephone_number": "724-752-0081",
"fax_number": "724-752-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNATARO",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-008420-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellwood City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.