Healthcare Provider Details

I. General information

NPI: 1417439860
Provider Name (Legal Business Name): RACHELE SARA CERRONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2018
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4885 DEMOSS RD
READING PA
19606-9023
US

IV. Provider business mailing address

6911 WHITETAIL CT
NEW TRIPOLI PA
18066-4446
US

V. Phone/Fax

Practice location:
  • Phone: 484-628-6263
  • Fax:
Mailing address:
  • Phone: 484-619-5113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021236
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT033901
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2000036139
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT006321
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: