Provider Demographics
NPI:1164726683
Name:DONADIO, JENNIFER A (LPTA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:DONADIO
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:SPROSTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:7423 KAUAI LOOP
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6154
Mailing Address - Country:US
Mailing Address - Phone:727-807-6084
Mailing Address - Fax:727-807-6078
Practice Address - Street 1:7423 KAUAI LOOP
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6154
Practice Address - Country:US
Practice Address - Phone:727-807-6084
Practice Address - Fax:727-807-6078
Is Sole Proprietor?:No
Enumeration Date:2010-12-23
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22469225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant