John Vizzini

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40AQ02024900 Issued in NJ

Practice address

107 Rowan Blvd
Glassboro, NJ 08028-2203

Phone

(856) 347-0333

NPI assigned

Aug 13, 2021

Last updated

May 26, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trifecta Therapeutics LLCGroup PAC ID 4789942483, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Trifecta Therapeutics, LLC

  • Sports Physical Therapist
  • Glassboro, NJ
  • NPI 1841701141
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1649945353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ROWAN BLVD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282203",
            "telephone_number": "856-347-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROWAN BLVD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282203",
            "telephone_number": "856-347-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Walnut Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661647",
            "country_code": "US",
            "telephone_number": "732-340-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIZZINI",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40AQ02024900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan E Vanzoeren, PT
• David Vega
• Lisa Velez, LSW
• Marisol Vicens, BA
• Andrea Vizzachero
• Edena Walden, PMHNP-BC
• Walgreen Co (Walgreens # 12048)
• Charita Angela Walker
• Alice Walls, PT
• John Watson, DPM

• Physical Therapist in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.