NPIMap

Organization Active NPI

Cip Rehabilitation Inc

  • Occupational Therapist
  • Dallas, PA
National Provider Identifier
1669963039
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CIP REHABILITATION INC
Practice address
5 Jacquelyn LN
Dallas, PA 18612
Phone
(631) 223-6713
NPI assigned
May 22, 2018
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Anthony Cipoletti, OTR/LNPI 1861940322
Title
President
Phone
(631) 223-6713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5 Jacquelyn LN
Dallas, PA 18612

Mailing address

5 Jacquelyn LN
Dallas, PA 18612-9107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180801002322 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789932104 Receives reassigned benefits from 67 practitioners
Practice locations: Dallas, PA

National Provider Directory

National Provider Directory

Locations

111 W Main St
Ste 132
Clinton, NJ 08809

64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1669963039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JACQUELYN LN",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JACQUELYN LN",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "18612",
            "telephone_number": "631-223-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIP REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "CIPOLETTI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-223-6713",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.