Individual provider Active NPI

Michael Joseph Catuccio, PT

  • Geriatric Physical Therapist
  • Trumbull, CT
National Provider Identifier
1649304643
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
005223 Issued in CT
Practice address
75 Cardinal Cir
Trumbull, CT 06611-3216
Phone
(203) 400-8756
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 005223 CT Primary

Addresses

Primary practice location

75 Cardinal Cir
Trumbull, CT 06611-3216

Mailing address

75 Cardinal Cir
Trumbull, CT 06611-3216
Phone (860) 651-1084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313001697 CT Practitioner - Physical Medicine and Rehabilitation 6608212618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Plus LLCGroup PAC ID 5799121703, 2 clinicians

Practice addresses (Care Compare)

75 Cardinal Cir
Trumbull, CT 06611-3216
Phone (203) 598-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5223CTMDProfessional Counselor
005223CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Plus LLC Geriatrics CurrentSince Jan 23, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1649304643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CARDINAL CIR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113216",
            "telephone_number": "860-651-1084",
            "fax_number": "860-651-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CARDINAL CIR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113216",
            "telephone_number": "203-400-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATUCCIO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CT",
            "license": "005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.