Peter Villavecchia

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00825800 Issued in NJ

Practice address

171 Lake St
Ramsey, NJ 07446-2089

Phone

(201) 327-1990

Fax

(201) 327-1921

NPI assigned

Dec 16, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Excellent Homecare of NJ LLC

  • Physical Therapist
  • Wayne, NJ
  • NPI 1427602549
  Medicare reassignment NPD
• Kinetic Physical Therapy, PC

  • Family Nurse Practitioner
  • Ramsey, NJ
  • NPI 1629017579

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1366101461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LAKE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462089",
            "telephone_number": "201-327-1990",
            "fax_number": "201-327-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAKE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462089",
            "telephone_number": "201-327-1990",
            "fax_number": "201-327-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVECCHIA",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00825800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "milly@kineticpt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "171 Lake St",
            "city": "Ramsey",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074462089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vein Restoration Medical Group. PC
• Kathryn Rose Vesperman, PA-C
• Victoria Tenenbaum Sleep and Behavior Counseling LLC
• Heather Lynn Vignali, MA, LPC, LMHC-D,
• Margarida Villalonga, PT
• Charles Michael Vulcano Jr., MED, LPC
• Walgreen Co
• Walgreen Co
• Michael Walty, M.ED.
• Brian Christopher Ward, D.C.

• Occupational Therapist in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.