Active NPI
Czarmaine Andaya Ciccotelli, DPT, PT
- Physical Therapist
- Murrysville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT032876
- Practice address
- 4115 William Penn Hwy
Murrysville, PA 15668-1887 - Phone
- (412) 856-8060
- Fax
- (724) 327-0173
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT032876 | PA | Primary |
Addresses
Primary practice location
4115 William Penn Hwy
Murrysville, PA 15668-1887
Mailing address
4115 William Penn Hwy
Murrysville, PA 15668-1887
Phone (412) 856-8060
Other practice location 1
5 Franklin Village Mall
Kittanning, PA 16201-8803
Phone (724) 543-6452
Other names 1
- Czarmaine Dungo Andaya
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28195 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1902409543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681887",
"telephone_number": "412-856-8060",
"fax_number": "724-327-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681887",
"telephone_number": "412-856-8060",
"fax_number": "724-327-0173"
}
],
"practiceLocations": [
{
"address_1": "5 Franklin Village Mall",
"address_purpose": "LOCATION",
"city": "Kittanning",
"state": "PA",
"postal_code": "162018803",
"country_code": "US",
"telephone_number": "724-543-6452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CICCOTELLI",
"first_name": "CZARMAINE",
"middle_name": "ANDAYA",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CZARMAINE",
"last_name": "ANDAYA",
"middle_name": "DUNGO",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.