Active NPI
James P Riccelli, PT., ECS, CERT MDT
- Clinical Electrophysiology Physical Therapist
- E Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- 009034-1
- Practice address
- 4939 Brittonfield Pkwy
E Syracuse, NY 13057-9208 - Phone
- (315) 234-7322
- Fax
- (315) 634-3264
- NPI assigned
- Jan 23, 2006
- Last updated
- Dec 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0090341 | NY | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 009034-1 | NY | Primary |
Addresses
Primary practice location
4939 Brittonfield Pkwy
E Syracuse, NY 13057-9208
Mailing address
4939 Brittonfield Parkway
Suite 103
E. Syracuse, NY 13057
Phone (315) 234-7322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2866
Phone (315) 472-1488
182 Intrepid LN
Syracuse, NY 13205-2545
Phone (315) 218-7020
308 W Seneca St
Manlius, NY 13104-2318
Phone (315) 682-5232
3709 Erie Blvd E
De Witt, NY 13214-2227
Phone (315) 251-2244
3922 Fennell St
Skaneateles, NY 13152-9316
Phone (315) 685-0908
436 Hinsdale Rd
Camillus, NY 13031-1648
Phone (315) 488-0996
4820 W Taft Rd
Suite 108
Liverpool, NY 13088-4865
Phone (315) 413-0004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009034 | NY | MD | Registered Dietitian |
| 0090341 | NY | MD | Specialist |
| 009034-1 | NY | MD | Clinical Electrophysiology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familycare Medical Group, PC | Current | Accepting new patients | |
| Syracuse Orthopedic Specialists, PLLC | Current | Accepting new patients | |
| Kudos Medical PLLC | Current | Accepting new patients | |
| New York Pain Medicine Associates PC | Past | Accepting new patients | |
| Kuss Physical Therapy PLLC | Electrophysiology, Clinical | Past | Accepting new patients |
| Physical Therapy & Electrophysiologic Specialist of Ny PLLC | Electrophysiology, Clinical | Past | Accepting new patients |
| Chittenango Medical & Wellness Assoc PC | Past | Accepting new patients |
Locations
436 Hinsdale Rd
Camillus, NY 13031
Phone (315) 488-0996
304 Genesee St
Chittenango, NY 13037
Phone (315) 687-6467
5100 W Taft Rd
Ste 2K
Liverpool, NY 13088
Phone (315) 452-2200
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
3709 Erie Blvd E
Syracuse, NY 13214
Phone (315) 251-2244
5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Syracuse, NY
- NPI 1447212063
-
- Internal Medicine Physician
- Chittenango, NY
- NPI 1801303532
-
- Orthopaedic Surgery Physician
- Syracuse, NY
- NPI 1669410379
-
- Specialist
- E Syracuse, NY
- NPI 1346206133
-
dba J P Riccelli Physical Therapy Specialists
- Physical Therapist
- Canastota, NY
- NPI 1457324832
Electrophysiology, Clinical
-
dba American Medwell
- Internal Medicine Physician
- Chittenango, NY
- NPI 1518016997
-
- Physical Therapist
- Central Square, NY
- NPI 1265590137
Electrophysiology, Clinical
-
- Pain Medicine Physician
- Liverpool, NY
- NPI 1184691453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1417927682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4939 BRITTONFIELD PARKWAY",
"address_2": "SUITE 103",
"city": "E. SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-234-7322",
"fax_number": "315-634-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4939 BRITTONFIELD PKWY",
"city": "E SYRACUSE",
"state": "NY",
"postal_code": "130579208",
"telephone_number": "315-234-7322",
"fax_number": "315-634-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCELLI",
"first_name": "JAMES",
"middle_name": "P",
"credential": "PT., ECS, CERT MDT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "0090341",
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "NY",
"license": "009034-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in E Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.