Provider Demographics
NPI:1225386535
Name:FERRAGONIO, NOELLE N (PT)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:N
Last Name:FERRAGONIO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 W MONROE CIR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1213
Mailing Address - Country:US
Mailing Address - Phone:724-689-3392
Mailing Address - Fax:
Practice Address - Street 1:1075 FREEDOM RD
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-4871
Practice Address - Country:US
Practice Address - Phone:724-778-9310
Practice Address - Fax:724-452-2253
Is Sole Proprietor?:No
Enumeration Date:2012-08-16
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022223225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist