Active NPI
Victoria Colacicco, PT, DPT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1073208286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020237
- Practice address
- 7300 Dearwester Dr
Cincinnati, OH 45236-6119 - Phone
- (630) 413-5800
- Fax
- (630) 413-5801
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | PT020237 | OH | Primary |
Addresses
Primary practice location
7300 Dearwester Dr
Cincinnati, OH 45236-6119
Mailing address
9251 Deercross Pkwy Apt 1D
Blue Ash, OH 45236-4567
Phone (440) 679-0523
Other practice location 1
4855 Babson Pl
Cincinnati, OH 45227-2637
Phone (630) 413-5800
Other practice location 2
230 W Galbraith Rd
Cincinnati, OH 45215-5223
Phone (630) 413-5800
Other practice location 3
7222 Heritagespring Dr
West Chester, OH 45069-6589
Phone (630) 413-5800
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 |
|---|---|---|---|
| PT020237 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1073208286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9251 DEERCROSS PKWY APT 1D",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452364567",
"telephone_number": "440-679-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 DEARWESTER DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452366119",
"telephone_number": "630-413-5800",
"fax_number": "630-413-5801"
}
],
"practiceLocations": [
{
"address_1": "4855 Babson Pl",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452272637",
"country_code": "US",
"telephone_number": "630-413-5800",
"fax_number": "630-413-5801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 W Galbraith Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452155223",
"country_code": "US",
"telephone_number": "630-413-5800",
"fax_number": "630-413-5801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7222 Heritagespring Dr",
"address_purpose": "LOCATION",
"city": "West Chester",
"state": "OH",
"postal_code": "450696589",
"country_code": "US",
"telephone_number": "630-413-5800",
"fax_number": "630-413-5801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLACICCO",
"first_name": "VICTORIA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.