Individual provider Active NPI

Jeffrey W Ciolino, OT

  • Physical Therapist
  • Norwood, MA
National Provider Identifier
1144247222
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0063691 Issued in NY
Practice address
3 Edgewater Dr
Norwood, MA 02062-4642
Phone
(631) 422-0900
Fax
(631) 422-0900
NPI assigned
Jul 16, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 0063691 NY Primary

Addresses

Primary practice location

3 Edgewater Dr
Norwood, MA 02062-4642

Mailing address

143 Chardonnay Dr
East Quogue, NY 11942-3829
Phone (631) 278-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041104001145 NY Practitioner - Occupational Therapist in Private Practice 8325001944 Reassigns benefits to 1 organization
I20260305001398 FL Practitioner - Occupational Therapist in Private Practice 8325001944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ippolito Rehabilitation LLCGroup PAC ID 5092061457, 16 clinicians

Practice addresses (Care Compare)

12840 Tamiami TRL N
Suite 200
Naples, FL 34110-1619
Phone (239) 390-3978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11451MAMDHealth Service Psychologist
0063691NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Therapy Services:Physical, Occupational & Massage Therapy,PLLC Physical Therapist CurrentSince Nov 19, 2025 Accepting new patients
Ippolito Rehabilitation, LLC Physical Therapist CurrentSince Jan 16, 2026 Accepting new patients
Longevity Rehab & Wellness LLC Physical Therapist CurrentSince May 20, 2026 Accepting new patients
Propel Physical Therapy PC Physical Therapist Past Accepting new patients
On Site Dermatology of Massachusetts, LLC PastSince Jun 24, 2015 Accepting new patients
Lifelong Therapeutics Physical Therapist PastSince Sep 1, 2002 Accepting new patients

Locations

12840 Tamiami Trl N
Ste 200
Naples, FL 34110
Phone (239) 390-3978

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1144247222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CHARDONNAY DR",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119423829",
            "telephone_number": "631-278-0665",
            "fax_number": "631-422-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EDGEWATER DR",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624642",
            "telephone_number": "631-422-0900",
            "fax_number": "631-422-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOLINO",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0063691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.