John Mark Deangelo, PT
NPI 1093898363ActiveIndividual· Physical Therapist· Erie, PA
Physical Therapist (PT) with 180 Physical Therapy, Inc., practicing in Erie, Pennsylvania. Medicare paid $72,757 for services to 103 patients in 2024.
Overview
| NPI | 1093898363 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Dec 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT018397 | PA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | RT001629A | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 4,288 across 15 procedure codes |
| Paid by Medicare | $72,757 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- 180 Physical Therapy, Inc.Erie, PA · 2 clinicians
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