Active NPI
Robert John Piscitelli, MSPT
- Physical Therapist
- Burlington, MA
National Provider Identifier
1992860365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13155
- Practice address
- 111 S Bedford St
Burlington, MA 01803-5145 - Phone
- (781) 272-2100
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13155 | MA | Primary |
Addresses
Primary practice location
111 S Bedford St
Burlington, MA 01803-5145
Mailing address
449 High St
Dedham, MA 02026-2816
Phone (781) 320-0138
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13155 | MA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992860365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 HIGH ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020262816",
"telephone_number": "781-320-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S BEDFORD ST",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018035145",
"telephone_number": "781-272-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISCITELLI",
"first_name": "ROBERT",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "13155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.