Vincent Ricobene, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05013113A Issued in IN

Practice address

6625 W Lincoln Hwy Lowr Level
Crown Point, IN 46307-9678

Phone

(219) 440-5360

Fax

(219) 440-5361

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Munster Radiology Group PC

  • Diagnostic Radiology Physician
  • Munster, IN
  • NPI 1144207101
  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1194334003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16931 89TH AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604877206",
            "telephone_number": "708-262-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 W LINCOLN HWY LOWR LEVEL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079678",
            "telephone_number": "219-440-5360",
            "fax_number": "219-440-5361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 W US Highway 30",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751562",
            "country_code": "US",
            "telephone_number": "219-836-5381",
            "fax_number": "219-836-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8840 Calumet Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212546",
            "country_code": "US",
            "telephone_number": "219-703-2416",
            "fax_number": "219-703-6778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1023 S Cedar Rd",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604512645",
            "country_code": "US",
            "telephone_number": "815-463-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICOBENE",
        "first_name": "VINCENT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013113A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.