Individual provider Active NPI

Richard Juan Vicory, PT, DPT

  • Physical Therapist
  • Farmington, CT
National Provider Identifier
1962430256
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12393 Issued in CT
Practice address
3 Farm Glen Blvd
Farmington, CT 06032-1981
Phone
(860) 868-4953
Fax
(860) 509-4448
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16637 FL
Physical Therapist 225100000X 12393 CT Primary

Addresses

Primary practice location

3 Farm Glen Blvd
Farmington, CT 06032-1981

Mailing address

3 Farm Glen Blvd
Farmington, CT 06032-1981
Phone (860) 868-4953

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12393CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Therapy Network, PC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Feb 13, 2021 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Comprehensive Orthopedics & Musculoskeletal Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Feb 13, 2021 Accepting new patients
Vicory Rehabilitation, Inc. Physical Therapist CurrentSince Jun 5, 2014 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

53 Old Kings Hwy N
Ste 103
Darien, CT 06820
Phone (203) 656-1922

499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

455 Lewis Ave
Ste 101
Meriden, CT 06451
Phone (203) 639-7992

6 Shaws Cv
Ste 101
New London, CT 06320
Phone (860) 444-9022

116 Danbury Rd
New Milford, CT 06776
Phone (203) 794-6331

863 N Main Street Ext
Ste 200
Wallingford, CT 06492
Phone (203) 741-6547

85 Barnes Rd
Ste 109
Wallingford, CT 06492
Phone (203) 697-1067

1509 W Orange Blossom Trl
#T
Apopka, FL 32712
Phone (407) 814-0436

1509 W Orange Blossom Trl
Apopka, FL 32712
Phone (407) 814-0436

576 Broadhollow Rd
Melville, NY 11747

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1962430256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FARM GLEN BLVD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321981",
            "telephone_number": "860-868-4953",
            "fax_number": "860-509-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FARM GLEN BLVD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321981",
            "telephone_number": "860-868-4953",
            "fax_number": "860-509-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICORY",
        "first_name": "RICHARD",
        "middle_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16637",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.