Steven Licata, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

057703 Issued in FL

Practice address

4109 N Federal Hwy
Ft Lauderdale, FL 33308-5530

Phone

(954) 563-2707

Fax

(954) 563-7009

NPI assigned

Aug 4, 2006

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

Enrolled in FL, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Osteopathic Manipulative Medicine

Education

Florida Atlantic University, College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shingletown Medical CenterGroup PAC ID 5294720736, 13 clinicians

Joel D Stein, D.O., P.aGroup PAC ID 6709829427, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Home Health of Redding Home health agency, Redding, CA, CCN 059579
• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• Willowbrooke Court at St Andrews Estates Nursing home, Boca Raton, FL, CCN 105355

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: stevenlicata@inso.allscriptsdirect.net

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.

• Joel D Stein, D.O., P.a

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Lauderdale, FL
  • NPI 1124218037

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment Care Compare group NPD
• Shingletown Medical Center

  • Federally Qualified Health Center (FQHC)
  • Shingletown, CA
  • NPI 1750387072
  Medicare reassignment Care Compare group NPD
• Revolutionary Care Clinic LLC

  • Family Medicine Physician
  • Delray Beach, FL
  • NPI 1457088437
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acts Retirement-Life Communities Inc

  • Skilled Nursing Facility
  • Boca Raton, FL
  • NPI 1982647368

  Nursing home

  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation
• Healthy Living at Home - Redding LLC

  • Home Health Agency
  • Redding, CA
  • NPI 1063853398
  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1508874439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085530",
            "telephone_number": "954-563-2707",
            "fax_number": "954-563-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085530",
            "telephone_number": "954-563-2707",
            "fax_number": "954-563-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICATA",
        "first_name": "STEVEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "057703",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "057703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Medical, LLC
• Liberty Medical, LLC
• Liberty Medical, LLC
• Liberty Pharmacy LLC
• Beatriz A. Libos, PA-C
• Vincent Charles Licata III, LCSW
• Moises Lichtinger, MD
• Debra S Lichtman, RN
• Zeljka Licina, DDS
• Brianna Lieberberg

• Neuromusculoskeletal Medicine & OMM Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.