Active NPI
Joseph Rivieccio, PT, DPT, OCS
- Physical Therapist
- Wallingford, CT
National Provider Identifier
1043764608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040735
- Practice address
- 101 N Plains Industrial Rd
Wallingford, CT 06492-2360 - Phone
- (203) 817-0196
- NPI assigned
- Aug 11, 2016
- 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 | 040735 | NY | Primary |
Addresses
Primary practice location
101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Mailing address
PO Box 417594
Boston, MA 02241-7594
Phone (646) 780-0926
Other practice location 1
2579 Ocean Ave Fl 3
Brooklyn, NY 11229-4552
Phone (646) 780-0926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040735 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One on One Physical Therapy Services PLLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1740423219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1043764608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417594",
"city": "BOSTON",
"state": "MA",
"postal_code": "022417594",
"telephone_number": "646-780-0926",
"fax_number": "212-379-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N PLAINS INDUSTRIAL RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922360",
"telephone_number": "203-817-0196"
}
],
"practiceLocations": [
{
"address_1": "2579 Ocean Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112294552",
"country_code": "US",
"telephone_number": "646-780-0926",
"fax_number": "212-379-2082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVIECCIO",
"first_name": "JOSEPH",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-11",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.