Monica Delviscio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34243 Issued in FL

Practice address

644 Cesery Blvd Ste 103
Jacksonville, FL 32211-7165

Phone

(904) 903-2755

Fax

(904) 903-2756

NPI assigned

Sep 27, 2016

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monica Delizo Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concierge Physio LLCGroup PAC ID 4082047667, 14 clinicians

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.

• Concierge Physio LLC

  dba Direct Orthopedic Therapy

  • Physical Therapist
  • Jacksonville Beach, FL
  • NPI 1013559632
  Medicare reassignment Care Compare group NPD
• Rebound Rehabilitative Services Inc

  • Orthopedic Physical Therapist
  • Orange Park, FL
  • NPI 1104328269
  NPD (past)
• Rebound Rehabilitative Services Inc

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1477510907

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1598214926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD STE B201",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865159",
            "telephone_number": "904-824-1636",
            "fax_number": "904-824-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 CESERY BLVD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117165",
            "telephone_number": "904-903-2755",
            "fax_number": "904-903-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053372",
            "country_code": "US",
            "telephone_number": "502-373-1050",
            "fax_number": "502-373-1051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Southpark Blvd Ste B201",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320865159",
            "country_code": "US",
            "telephone_number": "904-824-1636",
            "fax_number": "904-824-7488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 Palm Beach Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334096501",
            "country_code": "US",
            "telephone_number": "561-420-8555",
            "fax_number": "561-420-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8081 Philips Hwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567443",
            "country_code": "US",
            "telephone_number": "904-872-3100",
            "fax_number": "904-872-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "904 Park Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734120",
            "country_code": "US",
            "telephone_number": "904-420-3915",
            "fax_number": "904-420-3916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELVISCIO",
        "first_name": "MONICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "PT34243",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "DELIZO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.