Active NPI
Chelsea Larissa Visconti
- Physical Therapist
- East Hanover, NJ
National Provider Identifier
1376201392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 46TR00792500
- Practice address
- 11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167 - Phone
- (973) 887-9000
- Fax
- (973) 887-3816
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 46TR00792500 | NJ | Primary |
Addresses
Primary practice location
11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167
Mailing address
11 Eagle Rock Ave Ste 201
East Hanover, NJ 07936-3167
Phone (973) 887-9000
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportscare Institute, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Toms River, NJ
- NPI 1275501074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1376201392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EAGLE ROCK AVE STE 201",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079363167",
"telephone_number": "973-887-9000",
"fax_number": "973-887-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EAGLE ROCK AVE STE 201",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079363167",
"telephone_number": "973-887-9000",
"fax_number": "973-887-3816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCONTI",
"first_name": "CHELSEA",
"middle_name": "LARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "46TR00792500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hanover, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.