Michael Arcidiacono, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P16139 Issued in NC

Practice address

154 Amendment Ave
Rock Hill, SC 29732-3155

Phone

(803) 366-9990

Fax

(803) 366-9960

NPI assigned

Feb 10, 2016

Last updated

Feb 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proactive Therapy of North Carolina Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1568468502
  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1669432175
  Medicare reassignment NPD
• Proactive Therapy of North Carolina Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Wilson, NC
  • NPI 1477559771
  NPD
• Proactive Therapy of North Carolina Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Raleigh, NC
  • NPI 1689679433
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1023476678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108475",
            "telephone_number": "803-366-9990",
            "fax_number": "803-366-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 AMENDMENT AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323155",
            "telephone_number": "803-366-9990",
            "fax_number": "803-366-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCIDIACONO",
        "first_name": "MICHAEL",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Api Metrolina Care Services Inc (ComForCare Home Care - Suburban Metrolina)
• Apothecorp LLC
• Kristie Elizabeth Appelgren, M.D., M.S.C.R.
• John Amos Arant, JOHN ARANT
• Elias J Arbid, M.D.
• Benjamin Lee Areheart, DMD
• Keerthana Arjuna
• Casey Arkwright
• Rosemary Arman
• Leslie Armeniox, PHD, LPC, ADTR

• Physical Therapist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.