Active NPI
Carmine Chioccariello PT PA
- Physical Therapist
- Saint Petersburg, FL
National Provider Identifier
1811106941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11189
- Legal business name
- CARMINE CHIOCCARIELLO PT PA
- Practice address
- 780 94TH Ave N Ste 112
Saint Petersburg, FL 33702-2468 - Phone
- (727) 288-6279
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmine J Chioccariello, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0816273 | Other | FL | AETNA |
| Y920F | Other | FL | BCBS |
Other names 1
- SPORTS INJURY & PHYSICAL THERAPY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WebPT | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
780 94th Ave N
Ste 112
St Petersburg, FL 33702
Phone (727) 234-5688
7500 4th St N
Ste B
St Petersburg, FL 33702
Phone (207) 604-9437
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- St Petersburg, FL
- NPI 1285714733
-
- Speech-Language Pathologist
- Sarasota, FL
- NPI 1578999272
-
- Occupational Therapist
- Bradenton, FL
- NPI 1649834722
-
- Physical Therapist
- Palmetto, FL
- NPI 1669697298
-
- Physical Therapist
- Jacksonville, FL
- NPI 1063169142
-
- Occupational Therapist
- Bradenton, FL
- NPI 1285759555
-
- Physical Therapist
- Sarasota, FL
- NPI 1710379417
-
- Physical Therapist
- Saint Petersburg, FL
- NPI 1710709357
-
- Physical Therapist
- Largo, FL
- NPI 1699840884
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0816273",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y920F",
"state": "FL"
}
],
"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 Saint 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.