Anthony Craig Percoco, MS PT

Key facts

NPI: 1801960562
Entity type: Individual (NPI type 1)
Primary specialty: Physical Medicine & Rehabilitation Physician 208100000X
License: 11601 (MA)
Practice address: 217 Main St
Rowley, MA 01969-1503
Phone: (617) 730-5337
Fax: (617) 730-5461
NPI assigned: Nov 17, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Studio Avani Physical Therapy Clinic/Center · Rowley, MA · NPI 1457970063

NPD

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 1998
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 Main St
Rowley, MA 01969-1503
Phone (978) 432-1277

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20090421000358	MA	Practitioner - Physical Therapist in Private Practice	3274680764	Practice locations: Rowley, MA

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science

State licenses

License	State	Type	Specialty
0244071	NY	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Studio Avani		Current since Apr 1, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	0244071	NY
Physical Medicine & Rehabilitation Physician	208100000X	11601	MA	Yes

Addresses

Primary practice location

217 Main St
Rowley, MA 01969-1503

Mailing address

217 Main St
Rowley, MA 01969-1503
Phone (914) 763-5941

Other providers in Rowley, MA

New Focus LLC
North Shore Collaborative Counseling, LLC
Christopher George Pais
George J Papanicolaou, D.O.
Elizabeth Peck, FNP
Dorothy Prescott, LICSW
Jacquelyn Pyburn
Richard M Seltenrich DMD PLLC
Alise Laura Rittershaus, CCC-SLP
Leanne Roberts, N.P.

All providers in Rowley, MA · Physical Medicine & Rehabilitation Physician in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2020. 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.

Verify at the official NPI Registry.