Individual provider Active NPI

Joseph Esio Lucchesi, PT, DPT

  • Orthopedic Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1891275962
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT33946 Issued in FL
Practice address
6804 Porto Fino Cir
Fort Myers, FL 33912-7139
Phone
(239) 362-1485
NPI assigned
Aug 18, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT33946 FL
Orthopedic Physical Therapist 2251X0800X PT33964 FL
Orthopedic Physical Therapist 2251X0800X PT33946 FL Primary

Addresses

Primary practice location

6804 Porto Fino Cir
Fort Myers, FL 33912-7139

Mailing address

12241 Londonderry LN
Bonita Springs, FL 34135-6369
Phone (847) 361-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119001210 FL Practitioner - Physical Therapist in Private Practice 4486908092 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33964FLMDOrthopedic Physical Therapist
PT33946FLMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Ippolito Rehabilitation, LLC Single Specialty CurrentSince Oct 20, 2018 Accepting new patients
Synergy Care Southeast, LLC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients

Locations

825 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 574-8789

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1891275962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 LONDONDERRY LN",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356369",
            "telephone_number": "847-361-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 PORTO FINO CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127139",
            "telephone_number": "239-362-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCHESI",
        "first_name": "JOSEPH",
        "middle_name": "ESIO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-18",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT33946",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT33964",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT33946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.