Individual provider Active NPI

Nicholas Cicchetti

  • Physical Therapist
  • Ephrata, PA
National Provider Identifier
1528439684
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
TPT021749 Issued in PA
Practice address
556 Pointview Ave
Ephrata, PA 17522-2318
Phone
(717) 598-6763
NPI assigned
Oct 15, 2015
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TPT021749 PA Primary

Addresses

Primary practice location

556 Pointview Ave
Ephrata, PA 17522-2318

Mailing address

556 Pointview Ave
Ephrata, PA 17522-2318
Phone (717) 598-6763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201000103 PA Practitioner - Physical Therapist in Private Practice 0143524835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Pennsylvania LLCGroup PAC ID 5799724001, 5 clinicians

Practice addresses (Care Compare)

600 High Blvd
Reading, PA 19607-2155
Phone (610) 796-9687

Merit-based Incentive Payment System (MIPS)

Final score
82.32 of 100Reported as group
Quality
76.01
Promoting interoperability
92
Improvement activities
40
Cost
71.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPT021749PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Services of Pennsylvania LLC Physical Therapist CurrentSince Nov 5, 2015 Accepting new patients

Locations

48 Tunnel Rd
Ste 202
Pottsville, PA 17901
Phone (570) 622-0182

600 High Blvd
Shillington, PA 19607
Phone (610) 775-2799

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

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1528439684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 POINTVIEW AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222318",
            "telephone_number": "717-598-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 POINTVIEW AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222318",
            "telephone_number": "717-598-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCHETTI",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT021749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.

Verify at the official NPI Registry.