Individual provider Active NPI

Joseph D. Lavacca, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1083928444
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032843-1 Issued in NY
Practice address
584 Broadway
Suite 710
New York, NY 10012-5242
Phone
(212) 941-0503
Fax
(212) 941-6195
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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 032843-1 NY Primary

Addresses

Primary practice location

584 Broadway
Suite 710
New York, NY 10012-5242

Mailing address

584 Broadway
Suite 710
New York, NY 10012-5242
Phone (212) 941-0503

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

LicenseStateTypeSpecialty
032843-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jun 22, 2026 Accepting new patients

Locations

588 Broadway
Rm 710
New York, NY 10012
Phone (212) 941-0503

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1083928444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125242",
            "telephone_number": "212-941-0503",
            "fax_number": "212-941-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "address_2": "SUITE 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125242",
            "telephone_number": "212-941-0503",
            "fax_number": "212-941-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVACCA",
        "first_name": "JOSEPH",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032843-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.