Active NPIIndividual providerSole proprietor

Ryan C Dacillo

Physical Therapist in Middletown, New Jersey

NPI Number1790010353
Practice location
1108 Knollwood Dr, Middletown, NJ 07748-2854
Fax
—
Last updated
May 20, 2010

Ryan Catoltol Dacillo is a Physical Therapist based in Middletown, NJ. Ryan Catoltol Dacillo practices in Middletown, NJ. The NPI Number for Ryan Catoltol Dacillo is 1790010353 and holds a License No. 006517 (NY). The current practice location address for Ryan Catoltol Dacillo is 1108 Knollwood Dr, Middletown, NJ 07748-2854 and can be reached out via phone at 732-320-3184.

Provider Profile Details

NPI Number
1790010353
Provider Name
Ryan Catoltol Dacillo
Provider Entity Type
Individual
Gender
Male
Address
1108 Knollwood Dr, Middletown, NJ 07748-2854
Phone Number
732-320-3184
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 14, 2009
Last Update Date
May 20, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1108 Knollwood Dr
Middletown, NJ 07748-2854
Zip
07748-2854
Phone Number
732-320-3184
Middletown, NJ 07748Get directions →

Provider Business Mailing Address Details

Address
1108 Knollwood Dr
Middletown, NJ 07748-2854
City
Middletown
State
NJ
Zip
07748-2854
Phone Number
732-320-3184

License Information

License Number (1)
006517
License State (1)
NY
Taxonomy (1)
Physical Therapy Assistant · 225200000X
License Number (2)
032480
License State (2)
NY
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ryan C Dacillo?

The NPI number of Ryan C Dacillo is 1790010353. It was assigned on October 14, 2009 and is currently active in the NPPES registry.

What is the specialty of Ryan C Dacillo?

Ryan C Dacillo is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 006517.

Where does Ryan C Dacillo practice?

The practice location is 1108 Knollwood Dr, Middletown, NJ 07748-2854. The office can be reached at 732-320-3184 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790010353 directly on the NPPES registry website.

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