Individual provider Active NPI

Peter Forcelli, MS, BSRT, RRT-ACCS

  • Registered Respiratory Therapist
  • Bethel, CT
National Provider Identifier
1336724822
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
009444-1 Issued in NY
Practice address
3 Saras Way
Bethel, CT 06801-2949
Phone
(203) 650-7608
NPI assigned
Mar 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 001972 CT
Registered Respiratory Therapist 227900000X 009444-1 NY Primary

Addresses

Primary practice location

3 Saras Way
Bethel, CT 06801-2949

Mailing address

3 Saras Way
Bethel, CT 06801-2949
Phone (203) 650-7608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001972CTMDOccupational Therapist
009444-1NYMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1336724822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SARAS WAY",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012949",
            "telephone_number": "203-650-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SARAS WAY",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012949",
            "telephone_number": "203-650-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCELLI",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "MS, BSRT, RRT-ACCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CT",
            "license": "001972",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NY",
            "license": "009444-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.