Angel E Baricelli, PT, MSPT
Individual provider Active NPI Specialist · Boston, MA
NPI 1295086684 · NPPES record last updated Sep 25, 2012
Key facts
- NPI
- 1295086684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 20254 (MA)
- Practice address
- 653 Summer St
Floor # 2
Boston, MA 02210-2108 - Phone
- (617) 269-6262
- Fax
- (617) 269-1068
- NPI assigned
- Sep 25, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stellar Therapy Services LLC
Practice addresses (Care Compare)
495 NE 89TH St
El Portal, FL 33138-3144
Phone (781) 866-1943
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200715002241 | FL | Practitioner - Physical Therapist in Private Practice | 1052563798 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Therapy Services LLC | Current |
Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Current |
Accepting new patients | |
| In Home Rehab of Florida PLLC | Current |
Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Current |
Accepting new patients | |
| New Dimensions in Health, Inc. | Past | Accepting new patients |
Locations
1639 NE 26th St
Wilton Manors, FL 33305
Phone (781) 866-1943
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20254 | MA | Yes |
Addresses
Primary practice location
653 Summer St
Floor # 2
Boston, MA 02210-2108
Mailing address
70 S Huntington Ave
# 24
Boston, MA 02130-4720
Phone (781) 866-9231
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.