Individual provider Active NPI

Stephanie Nicole Calicchia, PT, DPT

  • Physical Therapist
  • Rome, NY
National Provider Identifier
1699000794
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031778-01 Issued in NY
Practice address
7726 Kilbourn Rd # a
Rome, NY 13440-6335
Phone
(315) 798-4040
NPI assigned
Oct 7, 2009
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031778-01 NY Primary

Addresses

Primary practice location

7726 Kilbourn Rd # a
Rome, NY 13440-6335

Mailing address

7726 Kilbourn Rd # a
Rome, NY 13440-6335
Phone (315) 798-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012003886 NY Practitioner - Physical Therapist in Private Practice 2466828678 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 clinicians
Nova Rehab PT OT PLLCGroup PAC ID 5395244685, 17 clinicians
Homeside Rehab PT OT SLP LLCGroup PAC ID 7810045309, 45 clinicians

Practice addresses (Care Compare)

2632 Atlantic Ave
Brooklyn, NY 11207-2425
Phone (718) 473-3808

4 W Main St
Cambridge, NY 12816-1131
Phone (347) 631-6150

441 Route 306
Suite 2
Monsey, NY 10952-1234
Phone (718) 377-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031778NYMDPharmacist
031778-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Homeside Rehab, PT, OT, SLP LLC Physical Therapist CurrentSince Oct 14, 2022 Accepting new patients
Nova Rehab PT OT PLLC Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Sep 10, 2022 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

4 W Main St
Cambridge, NY 12816
Phone (347) 631-6150

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

8299 Turin Rd
Rome, NY 13440
Phone (315) 336-0307

296 Route 59
Ste 1225
Suffern, NY 10901

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1699000794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 KILBOURN RD # A",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134406335",
            "telephone_number": "315-798-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 KILBOURN RD # A",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134406335",
            "telephone_number": "315-798-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICCHIA",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2022-10-13",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031778-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.