DOMENIC VISOCCHI (NPI# 1639183445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639183445 |
| Entity Type | Individual |
| Full Name | DOMENIC VISOCCHI |
| Credential | MSPT |
| Practice Address |
5 High St Suite 203 Medford MA 02155-3860 |
| Practice Telephone | 7813957333 |
| Practice Fax Number | 7813957331 |
| Mailing Telephone | 7813957333 |
| Mailing Fax Number | 7813957331 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
15414 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 469253 | 01 |
| MA | BCBS OF MASS | Y67923 | 01 |
| MA | MEDICARE P TAN | Y6860901 | 01 |
| Street Address |
5 HIGH ST SUITE 203 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588678312 | Precision Physical Therapy & Sports Medicine | Physical Medicine & Rehabilitation | 5 High St, Suite 203, Medford, MA 02155-3860 | 2006-07-28 |
| 1902410814 | Danielle Madden | Counselor | 5 High St, Medford, MA 02155-3860 | 2020-09-08 |
| 1881242824 | Rosalee Mara Heaney-balf | Social Worker | 5 High St, Medford, MA 02155-3860 | 2019-09-03 |
| 1629636840 | Genevieve Gleich | Social Worker | 5 High St, Medford, MA 02155-3860 | 2019-06-03 |
| 1043773492 | Samara Muniz Soares | Counselor | 5 High St, Medford, MA 02155-3860 | 2019-04-12 |
| 1255813440 | Kelsey Lynne Keefe | Social Worker | 5 High St, Medford, MA 02155-3860 | 2018-09-04 |
| 1992224851 | Andy Chen | Social Worker | 5 High St, Medford, MA 02155 | 2017-09-12 |
| 1891934352 | Karyn L Carey | Physical Medicine & Rehabilitation | 5 High St, Suite 203, Medford, MA 02155-3860 | 2009-02-06 |
| 1407037427 | Ann Brady | Physical Therapist | 5 High St, Suite 203, Medford, MA 02155-3860 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659712297 | John A Cumming | Physical Therapist | 1904 Sky Park Dr, Medford, OR 97504-4735 | 2013-07-11 |
| 1417125055 | Elpi Niki Altum | Physical Therapist | 33 Schoolhouse Dr, Medford, NJ 08055-9218 | 2008-02-18 |
| 1962606178 | Dolphin Chiropractic & Orthopedic Physical Therapy Center, LLC | Physical Therapist | 1314 Center Dr, Suite 14, Medford, OR 97501-7908 | 2007-06-12 |
| 1083827406 | Sporthopedics Physical Therapy, PC | Physical Therapist | 1060 Crater Lake Ave., Suite A, Medford, OR 97504 | 2007-05-08 |
| 1912938614 | Scott P Byrd | Physical Therapist | 1060 Crater Lake Ave, Ste A, Medford, OR 97504-2205 | 2006-07-05 |
| 1013961341 | Mark William Butler | Physical Therapist | 128 Route 70, Suite 2c, Medford, NJ 08055-2371 | 2006-05-20 |
| 1265942015 | Sandra Lynn Metwally | Physical Therapist | 707 Murphy Rd, Medford, OR 97504-8425 | 2017-10-06 |
| 1306155882 | John Dante Benedetto | Physical Therapist | 128 Route 70 Ste 2c, Medford, NJ 08055-2371 | 2010-09-30 |
| 1609057553 | Kevin Phillip Schnitzer | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213409 | Kathryn A Piersiak | Physical Therapist | 5 N Meadows Rd Ste 6, Medfield, MA 02052-2317 | 2020-10-19 |
| 1134758287 | Joshua Westin Leigh | Physical Therapist | 4 Spring Ln, Rockport, MA 01966-2111 | 2020-04-01 |
| 1366078479 | Lisa Marie Giallonardo | Physical Therapist | 4 Wethersfield Rd # 8, Natick, MA 01760-1770 | 2020-03-20 |
| 1487291928 | Michael Micco | Physical Therapist | 70 Day St Apt 2, Boston, MA 02130-1191 | 2019-12-03 |
| 1205341245 | Infinite Potential Physical Therapy and Wellness | Physical Therapist | 242 Libbey Industrial Pkwy, Weymouth, MA 02189-3109 | 2017-12-13 |
| 1598278962 | Michael White | Physical Therapist | 406r Washington St, Holliston, MA 01746-1342 | 2017-11-08 |
| 1386154482 | Robert Pano | Physical Therapist | 45 Putnam Hill Rd, Sutton, MA 01590-1722 | 2017-10-03 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1942659198 | Sports Medicine North | Physical Therapist | 2 First Ave Suite 211, Peabody, MA 01960-4959 | 2016-06-08 |
| 1376991505 | Sports Medicine North Orthopaedic Surgery, Inc | Physical Therapist | 112 Parker St, Newburyport, MA 01950-4008 | 2016-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.