Michael Cianciulli, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007071 Issued in CT

Practice address

230 George St
New Haven, CT 06510-3224

Phone

(203) 498-5980

Fax

(203) 498-5999

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wilton Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Wilton, CT
  • NPI 1336225036
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1316162431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-498-5980",
            "fax_number": "203-498-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-498-5980",
            "fax_number": "203-498-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIULLI",
        "first_name": "MICHAEL",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004262763",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Lal Chupp, MD
• Keith B Churchwell, MD
• Natela Churgulia, MD
• James P Cianciolo
• John Mark Cianciolo
• Alivia Ciarcia
• Justine Ciarleglio, PA-C
• Laura Ciarleglio, LCSW
• Emma Leonor Ciccarillo
• Nicole Rose Ciccia

• Physical Therapist in New Haven, CT
• Providers in New Haven, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.