Charles David Sacco, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00817900 Issued in NJ

Practice address

289 S White Horse Pike
Suite 101
Berlin, NJ 08009-1973

Phone

(856) 809-9001

Fax

(856) 809-9003

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Team Physical Therapy Limited

  • Physical Therapist
  • Hammonton, NJ
  • NPI 1487848602
  Medicare reassignment NPD
• Atlantic Orthopedic & Sports Physical Therapy PC

  • Physical Therapist
  • Hammonton, NJ
  • NPI 1497701452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033150164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 S WHITE HORSE PIKE",
            "address_2": "SUITE 101",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091973",
            "telephone_number": "856-809-9001",
            "fax_number": "856-809-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 S WHITE HORSE PIKE",
            "address_2": "SUITE 101",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080091973",
            "telephone_number": "856-809-9001",
            "fax_number": "856-809-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCO",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00817900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Y. Reyes, MA, NCC, LPC
• Rios Enterprise LLC
• William Riviello, RD
• Rachel Robin, RDN, LDN
• Rollies Pharmacy Inc (Rollie's Pharmacy)
• Ithiannie Salgado
• Jodi Salvati, LSW
• Hemanth Sambaraju
• Rodney M Satterfield II, MSW
• Anne Marie Schaeffer

• Physical Therapist in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.