Philip Caracciolo, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00523300 Issued in NJ

Practice address

1250 Chews Landing Road
Gloucester Township, NJ 08081

Phone

(856) 566-4400

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Solutions a Professional Corp.

  • Physical Therapist
  • Gloucester Township, NJ
  • NPI 1033266416
  Medicare reassignment NPD Authorized official
• Physical Solutions LLC

  • Physical Therapist
  • Voorhees, NJ
  • NPI 1699822015
  NPD (past)
• Sports Medicine Solutions

  • Physical Therapist
  • Laurel Springs, NJ
  • NPI 1205169943
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568519007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 4TH AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351308",
            "telephone_number": "856-547-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CHEWS LANDING ROAD",
            "city": "GLOUCESTER TOWNSHIP",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-566-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARACCIOLO",
        "first_name": "PHILIP",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00523300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Solutions a Professional Corp.

• Physical Therapist in Gloucester Township, NJ
• Providers in Gloucester Township, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.