William Picconatto, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2039 Issued in MN

Practice address

555 Railroad Dr NW
Suite 102
Elk River, MN 55330-1463

Phone

(763) 441-8111

Fax

(763) 441-9015

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1659346229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21811 SUGAR LN",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749529",
            "telephone_number": "763-439-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RAILROAD DR NW",
            "address_2": "SUITE 102",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301463",
            "telephone_number": "763-441-8111",
            "fax_number": "763-441-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCONATTO",
        "first_name": "WILLIAM",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2039",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Peterson
• Sheila Renee Peterson
• Candyce Rose Petron
• James Edward Petters, PT
• Mary Phillips, M.A., L.P.
• Nancy Jean Pierro, NP
• Jodi Marie Pikula, MT
• Aaron Pinion, DO
• Britley Diane Plautz
• Armanee Cashmarae Porter

• Physical Therapist in Elk River, MN
• Providers in Elk River, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.