Riccardi & Burton Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RICCARDI & BURTON PHYSICAL THERAPY P.C.

Practice address

6093 Holcomb Hill Rd
La Fayette, NY 13084-9511

Phone

(315) 677-9082

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda M Annal

Title

Office Manager

Phone

(315) 342-2738

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Burton, PT OCS

  • Physical Therapist
  • Lafayette, NY
  • NPI 1730110339
  NPD (past)
• Michelle G Licciardello, PT, CERT MDT

  • Physical Therapist
  • Oswego, NY
  • NPI 1730238585
  NPD (past)
• Vincent J Verginio, PT, CEERT MDT

  • Physical Therapist
  • Oswego, NY
  • NPI 1114076940
  NPD (past)
• Colleen M Dibernardo, M.S.P.T.

  • Physical Therapist
  • West Chester, PA
  • NPI 1043412380
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073662813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6093 HOLCOMB HILL RD",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849511",
            "telephone_number": "315-677-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 HOLCOMB HILL RD",
            "city": "LA FAYETTE",
            "state": "NY",
            "postal_code": "130849511",
            "telephone_number": "315-677-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICCARDI & BURTON PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ANNAL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-342-2738",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BPPR108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caralee Lewis, LMT
• John Price Macdaniel, O.D.
• Lorrie Anne Martin, LMSW
• Nancy Ann Miner, LPN
• Julia Panzone
• Stephen Paul Sheffield, DDS
• Stephen P. Sheffield, DDS, PLLC
• Sheri Stone, FNP-C
• Jennifer Tucker-Locke, PT, DPT
• Tong Wang, DDS

• Physical Therapist in La Fayette, NY
• Providers in La Fayette, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.