Individual provider Active NPI

Joseph Caroccio, DPT

  • Physical Therapist
  • Aventura, FL
National Provider Identifier
1902963895
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17716 Issued in FL
Practice address
16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone
(305) 405-0400
Fax
(305) 405-0415
NPI assigned
Jan 2, 2007
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17716 FL Primary

Addresses

Primary practice location

16249 Biscayne Blvd
Aventura, FL 33160-4300

Mailing address

16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 405-0400

Other identifiers 1

IdentifierTypeStateIssuer
887989300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120209000347 FL Practitioner - Physical Therapist in Private Practice 0840469565 Reassigns benefits to 1 organization
I20241230002903 TN Practitioner - Physical Therapist in Private Practice 0840469565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Nova Southeastern College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Rehabilitation CenterGroup PAC ID 8527237247, 11 clinicians

Practice addresses (Care Compare)

16249 Biscayne Blvd
Aventura, FL 33160-4300
Phone (305) 405-0400

9309 Kingston Pike
Suite C
Knoxville, TN 37922-2399
Phone (865) 601-7733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Rehabilitation Center Knoxville LLC Physical Therapist CurrentSince Sep 5, 2024 Accepting new patients
Atlantic Rehabilitation Center CurrentSince Aug 19, 2002 Accepting new patients
Atlantic Rehabilitation Center CurrentSince Aug 19, 2002 Accepting new patients
Atlantic Rehabilitation Center, Corp. PastSince Aug 19, 2002 Accepting new patients

Locations

16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400

11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611

11870 W State Road 84
Ste C3
Davie, FL 33325
Phone (954) 290-3154

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

9309 Kingston Pike
Ste C
Knoxville, TN 37922
Phone (865) 601-7733

Organizations & group practices 4

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1902963895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16249 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-405-0400",
            "fax_number": "305-405-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16249 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-405-0400",
            "fax_number": "305-405-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROCCIO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887989300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.