Individual ProviderJoseph RivieccioPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360(203) 817-0196(646) 780-0926PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Rivieccio does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1043764608Provider TypeIndividualFull NameRivieccio, JosephCredentialPT, DPT, OCSGenderMaleSole ProprietorNoEnumeration Date8/11/2016Last Updated6/9/2021Contact InformationPractice LocationPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360Phone(203) 817-0196FaxUnlisted FaxMailing LocationMailing AddressPO Box 417594, Boston, MA 02241-7594Phone(646) 780-0926Fax(212) 379-2123Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense040735New York