Michael Angelo Ciotto Jr.
Individual provider Active NPI Physical Therapy Assistant · Colchester, CT
NPI 1275960569 · NPPES record last updated Oct 1, 2013
Key facts
- NPI
- 1275960569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001326 (CT)
- Practice address
- 59 Harrington CT
Colchester, CT 06415-1207 - Phone
- (860) 537-2339
- NPI assigned
- Oct 1, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001326 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001326 | CT | Yes |
Addresses
Primary practice location
59 Harrington CT
Colchester, CT 06415-1207
Mailing address
336 Center Rd
23 B
Vernon, CT 06066-4179
Other providers in Colchester, CT
- Aaron C Casey
- Emily Casey
- Shelly Lynn Ceceri
- Victoria Christiansen
- Jacob Chwiedz
- Elizabeth Clarkin
- Cleomeni Home Care Agency LLC
- Stephanie Lynn Colacicco
- Colchester Board of Education
- Colchester Center for Counseling LLC
All providers in Colchester, CT · Physical Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.