William Vito Pisani, PTA – Physical Therapy Assistant

Key facts

NPI: 1902379902
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: 1928 (CT)
Practice address: 3 Hickory LN
Ansonia, CT 06401-2919
Phone: (475) 313-8109
NPI assigned: Jan 2, 2019
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1928	CT	MD	Athletic Trainer

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	1928	CT	Yes

Addresses

Primary practice location

3 Hickory LN
Ansonia, CT 06401-2919

Mailing address

3 Hickory LN
Ansonia, CT 06401-2919
Phone (475) 313-8109

Other names

William Vito Pisani Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 2, 2019.

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1902379902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HICKORY LN",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012919",
            "telephone_number": "475-313-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HICKORY LN",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012919",
            "telephone_number": "475-313-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANI",
        "first_name": "WILLIAM",
        "middle_name": "VITO",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "PISANI",
            "middle_name": "VITO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ansonia, CT

All providers in Ansonia, CT · Physical Therapy Assistant in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.