Individual provider Active NPI

Carmine J. Chioccariello, RPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1285714733
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11189 Issued in FL
Practice address
7500 4TH St N
St Petersburg, FL 33702-5400
Phone
(727) 369-8145
Fax
(727) 327-2897
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT11189
Physical Therapist 225100000X PT11189 FL Primary

Addresses

Primary practice location

7500 4TH St N
St Petersburg, FL 33702-5400

Mailing address

7500 4TH St N
St Petersburg, FL 33702-5400
Phone (727) 647-1441

Other practice location 1

1001 37th St N Ste D
St Petersburg, FL 33713-6010
Phone (727) 327-6897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000238 FL Practitioner - Physical Therapist in Private Practice 6002073228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmine Chioccariello PT PAGroup PAC ID 0749447969, 5 clinicians

Practice addresses (Care Compare)

780 94TH Ave N
Suite 112
Saint Petersburg, FL 33702-2468
Phone (727) 288-6279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT11189FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmine Chioccariello PT PA Physical Therapist CurrentSince Sep 6, 1996 Accepting new patients

Locations

7500 4th St N
St Petersburg, FL 33702
Phone (727) 526-4122

780 94th Ave N
Ste 112
St Petersburg, FL 33702
Phone (727) 234-5688

1001 37th St N
Ste D
St Petersburg, FL 33713
Phone (727) 327-6897

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1285714733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025400",
            "telephone_number": "727-647-1441",
            "fax_number": "727-327-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025400",
            "telephone_number": "727-369-8145",
            "fax_number": "727-327-2897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 37th St N Ste D",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337136010",
            "country_code": "US",
            "telephone_number": "727-327-6897",
            "fax_number": "727-327-2897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIOCCARIELLO",
        "first_name": "CARMINE",
        "middle_name": "J.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT11189",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.