Active NPI
Richard Vitolo, LPT
- Physical Therapist
- Sebring, FL
National Provider Identifier
1497763320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13614
- Practice address
- 2002 Villaway E
Sebring, FL 33876-7944 - Phone
- (863) 202-0485
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 13614 | FL | Primary |
Addresses
Primary practice location
2002 Villaway E
Sebring, FL 33876-7944
Mailing address
2002 Villaway E
Sebring, FL 33876-7944
Phone (863) 202-0485
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13614 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1497763320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 VILLAWAY E",
"city": "SEBRING",
"state": "FL",
"postal_code": "338767944",
"telephone_number": "863-202-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 VILLAWAY E",
"city": "SEBRING",
"state": "FL",
"postal_code": "338767944",
"telephone_number": "863-202-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITOLO",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "13614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.