Active NPI
Allison Michele Liccardo, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1114382223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039787
- Practice address
- 227 Madison St
New York, NY 10002-7537 - Phone
- (212) 441-5018
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039787 | NY | Primary |
Addresses
Primary practice location
227 Madison St
New York, NY 10002-7537
Mailing address
407 1St St
Apt 4
Hoboken, NJ 07030-2460
Phone (201) 316-6650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039787 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1114382223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 1ST ST",
"address_2": "APT 4",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070302460",
"telephone_number": "201-316-6650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 MADISON ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100027537",
"telephone_number": "212-441-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICCARDO",
"first_name": "ALLISON",
"middle_name": "MICHELE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.