Individual provider Active NPI

John Vicchio, PT

  • Physical Therapist
  • Morristown, NJ
National Provider Identifier
1033179403
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00526100 Issued in NJ
Practice address
1201 Mount Kemble Ave
Morristown, NJ 07960-6667
Phone
(973) 538-8877
Fax
(973) 538-8873
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00526100 NJ Primary

Addresses

Primary practice location

1201 Mount Kemble Ave
Morristown, NJ 07960-6667

Mailing address

490 Schooleys Mountain Rd Ste 3B
Hackettstown, NJ 07840-4002
Phone (908) 852-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130412000567 NJ Practitioner - Physical Therapist in Private Practice 8426041583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Jersey Physical Therapy Associates Inc.Group PAC ID 7315992542, 4 clinicians

Practice addresses (Care Compare)

490 Schooleys Mountain Rd
Suite 3B
Hackettstown, NJ 07840-4002
Phone 9088527575110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Physical Therapy Associates, Inc. Physical Therapist CurrentSince Dec 23, 2012 Accepting new patients

Locations

490 Schooleys Mountain Rd
Ste 3B
Hackettstown, NJ 07840
Phone (908) 852-7575

1201 Mount Kemble Ave
Township of Mendham, NJ 07960
Phone (908) 221-0603

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1033179403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 SCHOOLEYS MOUNTAIN RD STE 3B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404002",
            "telephone_number": "908-852-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MOUNT KEMBLE AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606667",
            "telephone_number": "973-538-8877",
            "fax_number": "973-538-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICCHIO",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00526100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.