Robert Nick Incitti, PT OCS CSCI

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00223500 Issued in NJ

Practice address

65 Mechanic Street
Red Bank, NJ 07701-1869

Phone

(732) 747-0075

Fax

(732) 747-5236

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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 NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Atlantic Physical Therapy Center

  • Orthopedic Physical Therapist
  • Toms River, NJ
  • NPI 1801857917
  Medicare reassignment NPD
• Atlantic Physical Therapy Center

  • Hand Occupational Therapist
  • Oakhurst, NJ
  • NPI 1659945228
  NPD
• Seashore Pediatric Therapy Center PC

  • Multi-Specialty Clinic/Center
  • Manahawkin, NJ
  • NPI 1396277083
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1881762698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MECHANIC STREET",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011869",
            "telephone_number": "732-747-0075",
            "fax_number": "732-747-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MECHANIC STREET",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011869",
            "telephone_number": "732-747-0075",
            "fax_number": "732-747-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCITTI",
        "first_name": "ROBERT",
        "middle_name": "NICK",
        "name_prefix": "Mr.",
        "credential": "PT OCS CSCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00223500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iain Ro Associates LLC
• Icbh
• Jacklyn Lillian Ignizio, NURSE PRACTITIONER
• Philip V Ilaria, M.D.
• Jaehyuck Patrick Im, MD
• Brian R Incremona, M.D.
• Individual Physical Therapy & Wellness II LLC
• Infinity Chiropractic & Wellness Center, LLC
• Infinity Physical Therapy
• Innereach Counseling LLC

• Physical Therapist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.