Stephen Daniel Cicalese, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026984-1 Issued in NY

Practice address

506 Stewart Ave
Garden City, NY 11530-4706

Phone

(516) 739-7733

Fax

(516) 739-1859

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By 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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Brian V. Becker M.a.P.T.PLLCGroup PAC ID 2264321256, 3 clinicians

Practice addresses (Care Compare)

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.

• Brian V. Becker M.a.P.T.PLLC

  dba Excel Rehabilitation and Sports Therapy

  • Physical Therapist
  • Babylon, NY
  • NPI 1295824027
  Medicare reassignment Care Compare group NPD
• Island Sports Physiotherapy, PC

  • Physical Therapy Clinic/Center
  • East Northport, NY
  • NPI 1366482408
  Medicare reassignment NPD
• Island Sports Physiotherapy, PC

  • Physical Therapy Clinic/Center
  • Huntington Station, NY
  • NPI 1558300202
  NPD
• Advanced Sports Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • East Setauket, NY
  • NPI 1952513384
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093824948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PARKSIDE AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642722",
            "telephone_number": "631-807-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304706",
            "telephone_number": "516-739-7733",
            "fax_number": "516-739-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICALESE",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026984-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHS Physician Partners, PC (St. Francis Physicians Associates)
• CHS Physician Partners, PC (Garden City Heart Group)
• James Chung
• Tae Jin Chung
• Saverio Cianciotta, PA
• Miguel Cima, MD
• Dori L Cinque, MS,RD,CDE
• Amanda Gabrielle Cioffi, LMSW
• Sheila Cipolla
• Nicole Cirillo, LMSW

• Physical Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.