Domenic Visocchi, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

15414 Issued in MA

Practice address

5 High St
Suite 203
Medford, MA 02155-3860

Phone

(781) 395-7333

Fax

(781) 395-7331

NPI assigned

Jul 28, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy IncGroup PAC ID 2567520596, 8 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 and National Provider Directory roles.

• Performance Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Chelsea, MA
  • NPI 1548482755

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Liberty Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lynn, MA
  • NPI 1285425686

  Orthopedic

  Medicare reassignment NPD
• Byron V Hartunian MD PC

  • Specialist
  • Cambridge, MA
  • NPI 1568554475
  NPD (past)
• Liberty Physical Therapy

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1265701395
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1639183445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HIGH ST",
            "address_2": "SUITE 203",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553860",
            "telephone_number": "781-395-7333",
            "fax_number": "781-395-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HIGH ST",
            "address_2": "SUITE 203",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553860",
            "telephone_number": "781-395-7333",
            "fax_number": "781-395-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISOCCHI",
        "first_name": "DOMENIC",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "15414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "Y67923",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "469253",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P TAN",
            "identifier": "Y6860901",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese Venedikian, DMD
• Michelle Vidal, LICSW
• Madeline G. Vielmann, LICSW
• Amber Pittmann Villanueva, MSW, LCSW
• Sarah Noelle Villard
• Visology Inc
• Kelley Elizabeth Viswanath, ARNP
• Kathryn Irene Vitiello, DMD
• Mary Louise Volanth
• Michael Wagner, MD

• Orthopedic Physical Therapist in Medford, MA
• Providers in Medford, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.