Individual provider Active NPI

Roger Frank Nicosia, PT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1588005839
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P8799 Issued in NC
Practice address
4140 Ferncreek Dr Ste 802
Fayetteville, NC 28314-2572
Phone
(910) 484-2171
Fax
(910) 484-4568
NPI assigned
Jul 16, 2013
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 P8799 NC Primary

Addresses

Primary practice location

4140 Ferncreek Dr Ste 802
Fayetteville, NC 28314-2572

Mailing address

4140 Ferncreek Dr Ste 802
Fayetteville, NC 28314-2572
Phone (910) 484-2171

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Orthopaedic Clinic, P.a. Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Cape Fear Orthopaedic Clinic, PA Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

4140 Ferncreek Dr
Ste 802
Fayetteville, NC 28314
Phone (910) 484-2171

Interoperability endpoints

  • Direct secure messaging: roger.nicosia.p1@direct.capefearortho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1588005839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 802",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142572",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 802",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142572",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOSIA",
        "first_name": "ROGER",
        "middle_name": "FRANK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.