Provider Demographics
NPI:1508808080
Name:GIANNI, AMANDA (DPT)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:GIANNI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:CARIELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:400 MCFARLAN RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2477
Mailing Address - Country:US
Mailing Address - Phone:610-925-4901
Mailing Address - Fax:
Practice Address - Street 1:400 MCFARLAN RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2477
Practice Address - Country:US
Practice Address - Phone:610-925-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ10002013225100000X
PAPT018939225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA116751UG6Medicare PIN
Q53244Medicare UPIN