Active NPI
Jocelyn Rose Prezioso, DPT
- Physical Therapist
- Bristol, CT
National Provider Identifier
1194205906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11912
- Practice address
- 72 Pine St
Bristol, CT 06010-6960 - Phone
- (860) 585-5800
- Fax
- (860) 585-5840
- NPI assigned
- Aug 21, 2018
- Last updated
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11912 | CT | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT296526 | CA |
Addresses
Primary practice location
72 Pine St
Bristol, CT 06010-6960
Mailing address
905 Flanders Rd
Southington, CT 06489-1306
Phone (860) 302-2885
Other practice location 1
1090 Meriden Waterbury Tpke
Plantsville, CT 06479-2055
Phone (203) 272-8490
Other practice location 2
20 Chapel St
Wallingford, CT 06492-2213
Phone (203) 741-9948
Other names 1
- Jocelyn Rose Ceruti
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 |
|---|---|---|---|
| PT296526 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1194205906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 FLANDERS RD",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064891306",
"telephone_number": "860-302-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 PINE ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106960",
"telephone_number": "860-585-5800",
"fax_number": "860-585-5840"
}
],
"practiceLocations": [
{
"address_1": "1090 Meriden Waterbury Tpke",
"address_purpose": "LOCATION",
"city": "Plantsville",
"state": "CT",
"postal_code": "064792055",
"country_code": "US",
"telephone_number": "203-272-8490",
"fax_number": "203-272-8474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Chapel St",
"address_purpose": "LOCATION",
"city": "Wallingford",
"state": "CT",
"postal_code": "064922213",
"country_code": "US",
"telephone_number": "203-741-9948",
"fax_number": "203-741-9950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREZIOSO",
"first_name": "JOCELYN",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-21",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "11912",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT296526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOCELYN",
"last_name": "CERUTI",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.