Individual provider Active NPI

John Charles Piccolo, DPT

  • Orthopedic Physical Therapist
  • Phoenixville, PA
National Provider Identifier
1962888651
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT024630 Issued in PA
Practice address
528 Kimberton Rd
Phoenixville, PA 19460-4737
Phone
(610) 933-6232
Fax
(610) 933-6234
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT024630 PA Primary

Addresses

Primary practice location

528 Kimberton Rd
Phoenixville, PA 19460-4737

Mailing address

120 W Germantown Pike
Suite 100
Plymouth Meeting, PA 19462-1420
Phone (610) 270-0370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104000196 PA Practitioner - Physical Therapist in Private Practice 8325358369 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pursue Physical Therapy and Wellness Center, Inc. Orthopedic CurrentSince Apr 12, 2021 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Orthopedic CurrentSince Apr 12, 2021 Accepting new patients
Foot & Ankle Physical Therapy, LLC Orthopedic CurrentSince Apr 13, 2021 Accepting new patients
Neurosurgical Care, LLC Past Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

931 E Haverford Rd
Fl 3
Bryn Mawr, PA 19010
Phone (610) 557-0590

399 Arcola Rd
Ste 200
Collegeville, PA 19426
Phone (610) 495-3620

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

466 Germantown Pike
Ste 200
Lafayette Hill, PA 19444
Phone (610) 832-7510

528 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 933-6232

120 W Germantown Pike
Ste 100
Plymouth Mtng, PA 19462
Phone (610) 270-0370

10 Glocker Way
Pottstown, PA 19465
Phone (610) 323-4300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACEAA

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1962888651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 KIMBERTON RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604737",
            "telephone_number": "610-933-6232",
            "fax_number": "610-933-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT024630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.