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NPI 1447765706

NPI 1447765706 : JOSEPH RICOTTA PT, DPT, CSCS : STATE COLLEGE, PA

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General NPI Number Information
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    NPI Number           |    1447765706
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH RICOTTA PT, DPT, CSCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/08/2017
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    Last Update Date     |    04/14/2025
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Provider Practice Location Address
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    Address Line         |    164 GREENVIEW DR STE 285 
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    City                 |    STATE COLLEGE
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    State                |    PA
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    Zip                  |    16803-2106
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    Country              |    US
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    Telephone            |    814-861-8122
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    Fax                  |    814-861-4292
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Provider Business Mailing Address
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    Address Line         |    155 WELLNESS WAY 
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    City                 |    STATE COLLEGE
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    State                |    PA
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    Zip                  |    16803-6797
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    Country              |    US
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    Telephone            |    814-231-7000
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    Fax                  |    814-231-7098
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    DAPT004941
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    042383-1
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT027649
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    License Number State |    PA
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