MARISUNTA PONTILLO (NPI# 1427611508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427611508 |
| Entity Type | Individual |
| Full Name | MARISUNTA PONTILLO |
| Practice Address |
1608 Walnut St Fl 2 Philadelphia PA 19103-5457 |
| Mailing Address |
475 Allendale Rd Ste 206 King of Prussia PA 19406-1495 |
| Practice Telephone | 2155458717 |
| Practice Fax Number | 2155459355 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1608 WALNUT ST FL 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-5457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427536283 | Allison Dastugue | Physical Therapist | 1608 Walnut St Fl 2, Philadelphia, PA 19103-5457 | 2018-08-03 |
| 1861967101 | Megan Mccreesh | Physical Therapist | 1608 Walnut St Fl 2, Philadelphia, PA 19103-5457 | 2018-10-12 |
| 1104306281 | Hannah Goldner | Physical Therapist | 1608 Walnut St Fl 2, Philadelphia, PA 19103-5457 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182297 | Austin Taylor Lloyd | Physical Therapist | 1107 E Erie Ave Ste 11, Philadelphia, PA 19124-5423 | 2020-10-26 |
| 1942821913 | Nolan Weaver | Physical Therapist | 1426 Frankford Ave, Philadelphia, PA 19125-4410 | 2020-05-01 |
| 1508337668 | Michael Hegarty | Physical Therapist | 2000 Hamilton St Ste 211, Philadelphia, PA 19130-3814 | 2018-12-16 |
| 1427536283 | Allison Dastugue | Physical Therapist | 1608 Walnut St Fl 2, Philadelphia, PA 19103-5457 | 2018-08-03 |
| 1770061590 | Philip Zhu | Physical Therapist | 1608 Walnut St Ste 200, Philadelphia, PA 19103-5426 | 2018-08-02 |
| 1780160713 | Jason Drott | Physical Therapist | 9337 Krewstown Rd # 39, Philadelphia, PA 19115-3710 | 2018-07-12 |
| 1508363508 | Shannon Riley | Physical Therapist | 517 S 4th St, Philadelphia, PA 19147-1569 | 2018-04-07 |
| 1922522036 | Evan Vasilauskas | Physical Therapist | 2000 Hamilton St Ste 202, Philadelphia, PA 19130-3849 | 2017-07-31 |
| 1124557681 | Erin Saucier | Physical Therapist | 601 Walnut St Ste 647, Philadelphia, PA 19106-3323 | 2017-06-08 |
| 1104182849 | Kevin Kubinski | Physical Therapist | 9337 Krewstown Rd, Philadelphia, PA 19115-3710 | 2012-04-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on MARISUNTA PONTILLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.