Richard J Cipoletti, D.P.T
Individual provider Active NPI Physical Therapist · Dallas, PA
NPI 1659601573 · NPPES record last updated Jun 28, 2018
Key facts
- NPI
- 1659601573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT021576 (PA)
- Practice address
- 5 Jacquelyn LN
Dallas, PA 18612-9107 - Phone
- (631) 223-6713
- NPI assigned
- Dec 29, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cip Rehabilitation Inc
Practice addresses (Care Compare)
64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180801002902 | PA | Practitioner - Physical Therapist in Private Practice | 4688922016 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT021576 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cip Rehabilitation Inc | Physical Therapist | Current |
Accepting new patients |
Locations
64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021576 | PA | Yes |
Addresses
Primary practice location
5 Jacquelyn LN
Dallas, PA 18612-9107
Mailing address
5 Jacquelyn LN
Dallas, PA 18612-9107
Phone (631) 223-6713
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT021576 | Other | PA | PHYSICAL THERAPIST |
Other providers in Dallas, PA
- Chun S Chang
- John D. Chiampi
- Robin Rachael Chiapuzzi
- Cip Rehabilitation Inc
- Anthony Cipoletti
- Clem-Mar House, Inc.
- Robert D Clements
- Meghan Cogley
- Color Tree Consulting LLC
- Thomas D Connors
All providers in Dallas, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.