Kevin Anthony Dellavecchia, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12876 Issued in CT

Practice address

360 Tolland Tpke Ste 2E
Manchester, CT 06042-1759

Phone

(860) 643-5317

NPI assigned

Sep 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ptsma, Inc.

  • Physical Therapy Clinic/Center
  • Pawcatuck, CT
  • NPI 1033773759
  Medicare reassignment Care Compare group
• Ptsma Inc

  • Physical Therapy Clinic/Center
  • Manchester, CT
  • NPI 1619393337
  NPD
• Ptsma, Inc.

  • Physical Therapy Clinic/Center
  • Torrington, CT
  • NPI 1588301287

  Physical Therapist

  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1831705987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DIAMOND AVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622904",
            "telephone_number": "860-995-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOLLAND TPKE STE 2E",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421759",
            "telephone_number": "860-643-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAVECCHIA",
        "first_name": "KEVIN",
        "middle_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Delgado
• William Delgiudice, CRNA
• Kristen Delgrego
• Jason Ronald Delisle, OD
• Robert Dell, PSYD
• Joseph E Delorenzo
• McKenna P Deluca, LMSW
• Shayna Deluca
• Chelsea Delude
• Kaitlyn R Delvalle

• Physical Therapist in Manchester, CT
• Providers in Manchester, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.