Rocco Coluccio, PT, MA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012847-01 Issued in NY

Practice address

1457 85TH St
Brooklyn, NY 11228-3405

Phone

(347) 262-0069

NPI assigned

Mar 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1356090344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 85TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283405",
            "telephone_number": "347-262-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 85TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283405",
            "telephone_number": "347-262-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUCCIO",
        "first_name": "ROCCO",
        "credential": "PT, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38323",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012847-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorectal Care PLLC
• James Lee Colter, LCSW
• Ruchama Deena Colton
• Edward Colucci, RPA-C
• Nicole Marie Colucci, PA-C
• Daisy Coludro
• Columbia Medical Care PC
• Columbia Medical of Ny, P.C.
• Nicolette Marie Columbia
• Marie Denise Colvert, FNP

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.