Active NPI
Anne Michelle Dicicco, PT
- Physical Therapist
- Cape May Court House, NJ
National Provider Identifier
1407355258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00743400
- Practice address
- 601 S Route 9
Cape May Court House, NJ 08210-2349 - Phone
- (609) 463-9944
- NPI assigned
- Feb 7, 2018
- 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 | 40QA00743400 | NJ | Primary |
Addresses
Primary practice location
601 S Route 9
Cape May Court House, NJ 08210-2349
Mailing address
15 Belcroft Ave
Ocean View, NJ 08230-1519
Phone (609) 513-7208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 New Rd
Suite 103
Northfield, NJ 08225-1457
Phone (609) 204-4849
Merit-based Incentive Payment System (MIPS)
- Final score
- 58 of 100
- Quality
- 55
- Improvement activities
- 30
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00743400 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2300 New Rd
Ste 103
Northfield, NJ 08225
Phone (609) 204-4849
408 Rio Grande Ave
Rio Grande, NJ 08242
Phone (609) 204-4849
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517961600000",
"number": "1407355258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BELCROFT AVE",
"city": "OCEAN VIEW",
"state": "NJ",
"postal_code": "082301519",
"telephone_number": "609-513-7208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S ROUTE 9",
"city": "CAPE MAY COURT HOUSE",
"state": "NJ",
"postal_code": "082102349",
"telephone_number": "609-463-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICICCO",
"first_name": "ANNE",
"middle_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2018-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00743400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape May Court House, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.