Joseph S Checchi, DPT

Individual provider Active NPI Physical Therapist · Ramsey, NJ

NPI 1609007616 · NPPES record last updated Aug 7, 2009

Key facts

NPI
1609007616
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01321800 (NJ)
Practice address
171 Lake St
Ramsey, NJ 07446-2089
Phone
(201) 327-1990
NPI assigned
Aug 7, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Wellness Chiropractic PC (3 clinicians)

Practice addresses (Care Compare)

380 N Midland Ave
Saddle Brook, NJ 07663-5716
Phone (201) 880-7077

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100603000614 NJ Practitioner - Physical Therapist in Private Practice 2062541808 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
40QA01321800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thimmel Chiropractic, LLC Physical Therapist Current
since Jan 1, 2015
Accepting new patients
Atlantic Wellness Chiropractic PC Physical Therapist Current
since Nov 1, 2010
Accepting new patients

Locations

380 N Midland Ave
Saddle Brook, NJ 07663
Phone (201) 880-7077

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01321800 NJ Yes

Addresses

Primary practice location

171 Lake St
Ramsey, NJ 07446-2089

Mailing address

171 Lake St
Ramsey, NJ 07446-2089

Other providers in Ramsey, NJ

All providers in Ramsey, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.