Active NPI
Daniel J Catuccio, RPT
- Physical Therapist
- Farmington, CT
National Provider Identifier
1023344223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007476
- Practice address
- 499 Farmington Ave
3Rd Floor
Farmington, CT 06032-1943 - Phone
- (860) 667-5494
- NPI assigned
- Oct 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007476 | CT | Primary |
Addresses
Primary practice location
499 Farmington Ave
3Rd Floor
Farmington, CT 06032-1943
Mailing address
181 Patricia M Genova Dr
5TH Floor Eastern Rehabilitation Network
Newington, CT 06111-1500
Phone (860) 667-5494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219001153 | CT | Practitioner - Physical Therapist in Private Practice | 9032699889 | Practice locations: Coventry, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Coventry, CT 06238
Phone (860) 984-5086
Coventry
Coventry, CT 06238-1025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007476 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1023344223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PATRICIA M GENOVA DR",
"address_2": "5TH FLOOR EASTERN REHABILITATION NETWORK",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061111500",
"telephone_number": "860-667-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 FARMINGTON AVE",
"address_2": "3RD FLOOR",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321943",
"telephone_number": "860-667-5494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATUCCIO",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-22",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.