NPIMap

Organization Active NPI

Carmine Chioccariello PT PA

Doing business as Sports Injury & Physical Therapy

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1811106941
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11189 Issued in FL
Legal business name
CARMINE CHIOCCARIELLO PT PA
Doing business as
Sports Injury & Physical Therapy
Practice address
780 94TH Ave N Ste 112
Saint Petersburg, FL 33702-2468
Phone
(727) 288-6279
NPI assigned
May 22, 2007
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Carmine J Chioccariello, PTNPI 1285714733
Title
Owner
Phone
(718) 313-0438

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT11189 FL Primary

Addresses

Primary practice location

780 94TH Ave N Ste 112
Saint Petersburg, FL 33702-2468

Mailing address

780 94TH Ave N Ste 112
St Petersburg, FL 33702-2468
Phone (718) 313-0438

Other practice location 1

1001 37th St N Ste D
St Petersburg, FL 33713-6010
Phone (727) 327-6897

Other practice location 2

7500 4th St N
St Petersburg, FL 33702-5400
Phone (727) 288-6279

Other names 1

  • SPORTS INJURY & PHYSICAL THERAPY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WebPT Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000217 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749447969 Receives reassigned benefits from 8 practitioners
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

7500 4th St N
Ste B
St Petersburg, FL 33702
Phone (207) 604-9437

780 94th Ave N
Ste 112
St Petersburg, FL 33702
Phone (727) 234-5688

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1811106941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 94TH AVE N STE 112",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022468",
            "telephone_number": "718-313-0438",
            "fax_number": "727-327-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 94TH AVE N STE 112",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022468",
            "telephone_number": "727-288-6279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 37th St N Ste D",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337136010",
            "country_code": "US",
            "telephone_number": "727-327-6897",
            "fax_number": "727-327-2897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 4th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337025400",
            "country_code": "US",
            "telephone_number": "727-288-6279",
            "fax_number": "727-327-2897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARMINE CHIOCCARIELLO PT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "CHIOCCARIELLO",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-313-0438",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7500 4th St N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337025400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SPORTS INJURY & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPORTS INJURY & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.