Careccia Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CARECCIA PHYSICAL THERAPY LLC

Practice address

361 Garibaldi Ave
Lodi, NJ 07644-3709

Phone

(973) 777-9040

Fax

(973) 777-5262

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kimberley Anne Careccia, MSPT

Title

Sole Propriietor

Phone

(973) 777-9040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104044155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GARIBALDI AVENUE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "07644",
            "telephone_number": "973-777-9040",
            "fax_number": "973-777-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 GARIBALDI AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443709",
            "telephone_number": "973-777-9040",
            "fax_number": "973-777-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECCIA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARECCIA",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SOLE PROPRIIETOR",
        "authorized_official_telephone_number": "973-777-9040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Campanella, MD
• Maribel Cano, M.S. CCC-SLP
• Maricela Cantuna, OD
• Andrew Cao, LSW
• Ciro J Carafa, MD
• Kimberley Anne Careccia, MSPT
• Charles Kaplan
• Lwoodsky Charles, MD
• Jennifer Cheng, PHARM. D.
• Chiro Rehab Institute, LLC

• All providers in Lodi, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.