Active NPI
Nicholas Liuzza, PT, DPT
- Physical Therapist
- Dracut, MA
National Provider Identifier
1093269599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22494
- Practice address
- 1595 Bridge St
Ste 5
Dracut, MA 01826 - Phone
- (508) 208-3476
- NPI assigned
- Aug 12, 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 | 22494 | MA | Primary |
Addresses
Primary practice location
1595 Bridge St
Ste 5
Dracut, MA 01826
Mailing address
1595 Bridge St
Ste 5
Dracut, MA 01826
Phone (508) 208-3476
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 |
|---|---|---|---|
| 22494 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1093269599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 BRIDGE ST",
"address_2": "STE 5",
"city": "DRACUT",
"state": "MA",
"postal_code": "01826",
"telephone_number": "508-208-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 BRIDGE ST",
"address_2": "STE 5",
"city": "DRACUT",
"state": "MA",
"postal_code": "01826",
"telephone_number": "508-208-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIUZZA",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-12",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dracut, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.