Ralph Anthony Diiorio, PT / ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00025600 Issued in NJ

Practice address

Old Bridge High School
4209 Highway 516
Matawan, NJ 07747-0774

Phone

(732) 290-3900

NPI assigned

Jan 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1447714498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SENECA BLVD",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052801",
            "telephone_number": "908-591-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD BRIDGE HIGH SCHOOL",
            "address_2": "4209 HIGHWAY 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077470774",
            "telephone_number": "732-290-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIIORIO",
        "first_name": "RALPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PT / ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00025600",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00620600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.