Joseph Lidio Damiani, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01480400 Issued in NJ

Practice address

15B Brookside HTS
Wanaque, NJ 07465-1638

Phone

(845) 641-4637

NPI assigned

Nov 30, 2011

Last updated

May 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skyline Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wanaque, NJ
  • NPI 1780241851
  Medicare reassignment NPD Authorized official
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1396012795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15B BROOKSIDE HTS",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651638",
            "telephone_number": "845-641-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15B BROOKSIDE HTS",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074651638",
            "telephone_number": "845-641-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902423496",
            "country_code": "US",
            "telephone_number": "562-401-6847 x7008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMIANI",
        "first_name": "JOSEPH",
        "middle_name": "LIDIO",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01480400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37032",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Thomas Bronzini, P.T.
• Amy Burgess, OTR/L
• Paula Marie Capella, OTR
• Diana Lisa Casianos, DNP, APN
• Complete Chiropractic PC
• Christopher J. Demetriou, D.C.
• Michael Difranco
• Maria Donohue
• Eg Case Management
• Rangelyn M Farid, RN

• Physical Therapist in Wanaque, NJ
• Providers in Wanaque, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.