Nicole M Vitale, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

016555-1 Issued in NY

Practice address

100 Metro Park
Suite
Rochester, NY 14623-2649

Phone

(585) 427-7610

Fax

(585) 427-7410

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821133976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MULBERRY ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202514",
            "telephone_number": "585-256-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METRO PARK",
            "address_2": "SUITE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232649",
            "telephone_number": "585-427-7610",
            "fax_number": "585-427-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016555-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RICPA",
            "identifier": "RC62016555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "7702294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7255424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Associates of Rochester
• Charlene Vitale, M.D.
• Daniel P Vitale
• Julia Robin Vitale, PSYD
• Marie Pauroso Vitale, MD
• Danylle Marie Vitello
• Kathleen Viterise, NP
• Tyler Viterise
• Alisa Vitkus, M.D.
• Vito C. Quatela, MD PLLC

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.