Active NPI
Neal Philip Scibelli, DPT
- Orthopedic Physical Therapist
- Grafton, WI
National Provider Identifier
1679918171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 12171-24
- Practice address
- 975 Port Washington Rd
Grafton, WI 53024-9201 - Phone
- (262) 329-2743
- NPI assigned
- May 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 12171-24 | WI | Primary |
Addresses
Primary practice location
975 Port Washington Rd
Grafton, WI 53024-9201
Mailing address
541 N Powers St
Port Washington, WI 53074-1631
Phone (414) 477-7972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-2953799 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12171-24 | WI | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1679918171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 N POWERS ST",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530741631",
"telephone_number": "414-477-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 PORT WASHINGTON RD",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530249201",
"telephone_number": "262-329-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIBELLI",
"first_name": "NEAL",
"middle_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-09",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "12171-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27-2953799",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.