Donald Joseph Ciancio III, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019629 Issued in MI

Practice address

17102 Farmington Rd
Livonia, MI 48152-3102

Phone

(734) 367-4207

Fax

(734) 436-0397

NPI assigned

Jul 16, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: donald.ciancioiii.p4@direct.athleticoltd.nextgenshare.com

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1386166841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17102 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523102",
            "telephone_number": "734-367-4207",
            "fax_number": "734-436-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIO",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-16",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10807",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu Hua Chu, NP-C
• Wen Jing Chung, M.D.
• Shannon Churchill
• Amanda Cialoni
• Kristen Cianci, PT
• Nicole Ciaravino
• Michael Cichy
• Anna Cipkar, PT
• David Cipparone
• Hali Citizen, BS

• Physical Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.