Provider Demographics
NPI:1932176559
Name:CERULLO, JAMES F (PHD, ATC, CSCS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:CERULLO
Suffix:
Gender:M
Credentials:PHD, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 GIRARD RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-1410
Mailing Address - Country:US
Mailing Address - Phone:412-207-8277
Mailing Address - Fax:
Practice Address - Street 1:3450 S WATER ST
Practice Address - Street 2:FOOTBALL OFFICE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2349
Practice Address - Country:US
Practice Address - Phone:412-648-8239
Practice Address - Fax:412-383-8764
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0037792255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer