Jeffery Lee Ciocca, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003606A Issued in IN

Practice address

621 W North St
Kendallville, IN 46755-1009

Phone

(260) 343-0343

Fax

(260) 343-0533

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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.

• Hoosier Physical Therapy LLC

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1932118593

  IN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spine Sports & Industrial Rehabilitation of Ligonier, Inc.

  • Specialist
  • Ligonier, IN
  • NPI 1376745091

  IN

  Medicare reassignment Care Compare group

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Sports and Industrial Rehabilitation of Ligonier, Inc. 2 clinicians

Hoosier Physical Therapy LLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2011.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1255340899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350034",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436350034",
            "telephone_number": "260-343-0343",
            "fax_number": "260-343-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W NORTH ST",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467551009",
            "telephone_number": "260-343-0343",
            "fax_number": "260-343-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOCCA",
        "first_name": "JEFFERY",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003606A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200250170A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200154530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Sue Charles, FNP-C
• Chiro-Care Inc.
• Barbara Ann Chivers, NP
• Chronister Kendallville Drug
• Thomas Chronister, RPH
• City of Kendallville Fire Department
• Cynthia Lynn Clark, MSW, LCSW, ACSW
• Mariah Clark, RBT
• Vincent J Coda, DPM
• Connie S. Cole, NP-C

• All providers in Kendallville, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.