Staci Pichette, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00586800 Issued in NJ

Practice address

514 Lafayette Rd
Suite E
Sparta, NJ 07871-3494

Phone

(973) 940-0871

Fax

(973) 940-0872

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wille Physical Therapy LLCGroup PAC ID 0840450300, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wille Physical Therapy LLC

  dba Heritage Health and Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Sparta, NJ
  • NPI 1104199918

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sparta Fit for Life, LLC

  • Physical Therapist
  • Sparta, NJ
  • NPI 1326193426
  NPD (past)
• Tu Rehab LLC

  dba TU Rehab of Oradell

  • Physical Therapy Clinic/Center
  • Oradell, NJ
  • NPI 1235576679

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1306993670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LAKEVIEW RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712245",
            "telephone_number": "862-266-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 LAFAYETTE RD",
            "address_2": "SUITE E",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713494",
            "telephone_number": "973-940-0871",
            "fax_number": "973-940-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHETTE",
        "first_name": "STACI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00586800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yashiris Peralta Lendof
• Peter a Davanzo MD PC
• Kurt James Peters, M.D.
• Anthony D Pezzulo, R.PH.
• Philip Caswell (Family Foot & Ankle Care)
• Danielle Pignatiello, LCSW
• Pine Cone Chiropractic
• Linda Pinto, CALA
• Melissa Pirnos
• David Pisani, R.N.

• Physical Therapist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.