Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domenic Visocchi, MSPT

Individual provider Orthopedic Physical Therapist · NPI 1639183445

Domenic Visocchi, MSPT is a Physical Therapist in Private Practice in Medford, Massachusetts. Graduated from New York Medical College in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
27
Trained at
New York Medical College
Licensed in
MA
In the registry since
2006

Practice location Address checks out

5 High St Ste 203
Medford, MA 02155-3860
Phone: (781) 395-7333
Fax: (781) 395-7331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 15414 (MA)

Record details

NPI number1639183445
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESMay 1, 2019
Mailing address5 High St, Suite 203, Medford, MA 02155-3860

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Medford