Individual provider Active NPI

Joseph David Cifelli, PTA

  • Physical Therapy Assistant
  • Myrtle Beach, SC
National Provider Identifier
1578068151
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3944 Issued in SC
Practice address
2421 Margarita Dr Unit 223
Myrtle Beach, SC 29577-2036
Phone
(856) 776-0329
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3944 SC Primary

Addresses

Primary practice location

2421 Margarita Dr Unit 223
Myrtle Beach, SC 29577-2036

Mailing address

2421 Margarita Dr Unit 223
Myrtle Beach, SC 29577-2036
Phone (856) 776-0329

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1578068151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 MARGARITA DR UNIT 223",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772036",
            "telephone_number": "856-776-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 MARGARITA DR UNIT 223",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772036",
            "telephone_number": "856-776-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFELLI",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.