Active NPI
Joseph Pichiarello
- Physical Therapist
- Honesdale, PA
National Provider Identifier
1053966614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028027
- Practice address
- 232 Sunrise Ave
Honesdale, PA 18431-1085 - Phone
- (570) 251-8003
- Fax
- (570) 251-8005
- NPI assigned
- Aug 9, 2019
- 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 | PT028027 | PA | Primary |
Addresses
Primary practice location
232 Sunrise Ave
Honesdale, PA 18431-1085
Mailing address
16 Maybrook Rd Ste G
Campbell Hall, NY 10916-2741
Phone (845) 636-4344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT028027 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current | Accepting new patients |
| Procare Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
82 N Main St
Ste 1
Carbondale, PA 18407
Phone (570) 282-0200
655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142
130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850
Organizations & group practices 3
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
- South Abington Township, PA
- NPI 1881132488
-
- Physical Therapist
- Towanda, PA
- NPI 1003876319
-
- Occupational Therapist
- Rehoboth Beach, DE
- NPI 1225637051
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1053966614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAYBROOK RD STE G",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162741",
"telephone_number": "845-636-4344",
"fax_number": "845-636-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 SUNRISE AVE",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184311085",
"telephone_number": "570-251-8003",
"fax_number": "570-251-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHIARELLO",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.