Rebecca Lynn Cicchetti, PT

Individual provider Active NPI Physical Therapist · Edgewater, FL

NPI 1356554240 · NPPES record last updated Sep 21, 2007

Key facts

NPI
1356554240
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT23350 (FL)
Practice address
2568 S Ridgewood
Suite 1
Edgewater, FL 32141
Phone
(386) 423-0100
Fax
(386) 428-8831
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Physical Therapy and Associates LTD Co Physical Therapist Past
since Jan 1, 2001
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23350 FL Yes

Addresses

Primary practice location

2568 S Ridgewood
Suite 1
Edgewater, FL 32141

Mailing address

5431 Canna Court
Port Orange, FL 32128-6690
Phone (860) 794-8153

Other names

  • Miss Rebecca Lynn McVeigh Former name

Other providers in Edgewater, FL

All providers in Edgewater, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.