Individual provider Active NPI

Caitlin Marie Cicone, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Miami, FL
National Provider Identifier
1528406022
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
15773 Issued in FL
Practice address
8950 N Kendall Dr Ste 410W
Miami, FL 33176-2127
Phone
(786) 596-2225
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT015150 PA
Physical Medicine & Rehabilitation Physician 208100000X 15773 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr Ste 410W
Miami, FL 33176-2127

Mailing address

8950 N Kendall Dr Ste 410W
Miami, FL 33176-2127
Phone (786) 596-2225

Other practice location 1

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190219000697 FL Practitioner - Physical Medicine and Rehabilitation 9133495088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
15773FLMDMental Health Counselor
OT015150PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Rehab Associates PA Physical Medicine & Rehabilitation CurrentSince Feb 14, 2022 Accepting new patients
The Naples Endoscopy ASC LP Current Accepting new patients
Precision Care Medical PC CurrentSince Feb 1, 2023 Accepting new patients

Locations

7117 Congdon Rd
Apt 200
Fort Myers, FL 33908
Phone (239) 936-5400

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

2781 Shell Rd
Ste 101
Brooklyn, NY 11223
Phone (718) 648-1234

150 E 55th St
Ste 401
New York, NY 10022
Phone (212) 840-0135

Interoperability endpoints

  • Direct secure messaging: caitlincicone@ssmp.allscriptsdirect.net
  • Direct secure messaging: cai15608@cerner.directbaptisthealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1528406022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR STE 410W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762127",
            "telephone_number": "786-596-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR STE 410W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762127",
            "telephone_number": "786-596-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICONE",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT015150",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "15773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.