Steven Thomas Degennaro, MPT
Physical Therapist, Pediatrics in Boulder, CO. Individual provider (NPI-1).
NPI number1740497288
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1740497288
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Thomas Degennaro
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 9374 | CO | Yes |
Practice location
311 Mapleton AveBoulder, CO 80304-3979
Phone 303-441-0526
Mailing address
1878 Fourmile Canyon DrBoulder, CO 80302-8787
Phone 516-384-8913
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Physical Therapist providers in Boulder, CO
- Merry Lynne Hamilton, PT, PHDNPI 1760544944
- Kids CanNPI 1780176735
- Lindsey A Mack, PT, DPTNPI 1053556787
- Deborah Ann Rothman, MSPTNPI 1457516429
All 5 Pediatric Physical Therapist providers in Boulder · All 7,147 providers in Boulder
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