PHILIP FANK DE RICCO (NPI# 1942845508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942845508 |
| Entity Type | Individual |
| Full Name | PHILIP FANK DE RICCO |
| Credential | LMT |
| Practice Address |
590 Ash St Mansfield CT 06250 |
| Mailing Address |
Po Box 676 Storrs Mansfield CT 06268-0676 |
| Practice Telephone | 8605318990 |
| Mailing Telephone | 8605318990 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8295 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
590 ASH ST |
| City | MANSFIELD |
| State | CT |
| Zip Code | 06250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| 1134360480 | Pasquale Joseph Perfetto | Counselor | 155 Storrs Road, Suite A, Mansfield, CT 06250 | 2009-03-17 |
| Find all providers in zip 06250 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956148 | Dawn Elizabeth Pouliot | Massage Therapist | 77 West St # A, Mansfield, MA 02048-2403 | 2020-09-09 |
| 1639702897 | Kathy L Hicks | Massage Therapist | 1086 Donal Dr, Mansfield, OH 44907-2648 | 2020-02-17 |
| 1790253706 | Alanna Dawn Higgins | Massage Therapist | 981 Ashland Road, Mansfield, OH 44905 | 2018-11-07 |
| 1548768468 | Ieshia Cannon | Massage Therapist | 305 Regency Pkwy Ste 501, Mansfield, TX 76063-3795 | 2018-01-25 |
| 1396250825 | Carol Schmidt | Massage Therapist | 1804 Owen Ct Ste 102, Mansfield, TX 76063-4235 | 2017-12-06 |
| 1851836449 | Mindy Taylor | Massage Therapist | 847 Sites Rd, Mansfield, OH 44903-8854 | 2017-01-05 |
| 1801257670 | Mandy Jill Drugan | Massage Therapist | 1604 Pear Pl, Mansfield, OH 44905-2733 | 2016-03-08 |
| 1205260197 | Kaylene M Hunt | Massage Therapist | 625 Lexington Ave, Unit 5, Mansfield, OH 44907-1579 | 2013-08-27 |
| 1891074498 | Tammie R Lane | Massage Therapist | 1105 Alexis Ct, Mansfield, TX 76063-3343 | 2011-08-12 |
| 1992015051 | Beth Marie Householder | Massage Therapist | 250 E Debbie Ln, Mansfield, TX 76063-9240 | 2010-10-07 |
| Find all providers in MANSFIELD | ||||
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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.