Organization Active NPI

Sicolo Fitness Institute LLC

Doing business as Sicolo Fitness & Physical Therapy

  • Physical Therapy Clinic/Center
  • Bogota, NJ
National Provider Identifier
1629570627
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SICOLO FITNESS INSTITUTE LLC
Doing business as
Sicolo Fitness & Physical Therapy
Practice address
127B Queen Anne Rd
Bogota, NJ 07603-1729
Phone
(201) 281-4373
NPI assigned
Mar 6, 2018
Last updated
Mar 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Barto Sicolo
Title
Owner
Phone
(201) 281-4373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

127B Queen Anne Rd
Bogota, NJ 07603-1729

Mailing address

698 Cypress St
New Milford, NJ 07646-1450
Phone (201) 281-4373

Other names 1

  • Sicolo Fitness & Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181101000454 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335492792 Receives reassigned benefits from 1 practitioner
Practice locations: Bogota, NJ

National Provider Directory

National Provider Directory

Locations

127 Queen Anne Rd
#B
Bogota, NJ 07603
Phone (201) 331-8330

127B Queen Anne Rd
Bogota, NJ 07603
Phone (201) 281-4373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1629570627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 CYPRESS ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461450",
            "telephone_number": "201-281-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127B QUEEN ANNE RD",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031729",
            "telephone_number": "201-281-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICOLO FITNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "SICOLO",
        "authorized_official_first_name": "BARTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-281-4373"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sicolo Fitness & Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bogota, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.