Nicholas Cicero IV, DPT
Individual provider Active NPI Physical Therapist · Plaquemine, LA
NPI 1942534441 · NPPES record last updated Sep 30, 2009
Key facts
- NPI
- 1942534441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 07694 (LA)
- Practice address
- 59295 River West Drive
Plaquemine, LA 70764 - Phone
- (225) 687-2066
- Fax
- (225) 687-2067
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baton Rouge Orthopaedic Clinic LLC
Practice addresses (Care Compare)
8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091027000715 | LA | Practitioner - Physical Therapist in Private Practice | 1557408325 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07694 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge Orthopaedic Clinic | Current |
Accepting new patients | |
| Peak Performance Physical Therapy and Fitness LLC | Current | Accepting new patients | |
| Baton Rouge Orthopaedic Clinic, LLC | Physical Therapist | Current |
Accepting new patients |
| Peak Performance Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Peak Performance Physical Therapy Limited Partnership | Current |
Accepting new patients | |
| Physicians' Choice Physical Therapy of Iberville Parish, L. L. C. | Physical Therapist | Past | Accepting new patients |
| Physicians Choice Physical Therapy of Livingston Parish Inc | Physical Therapist | Past | Accepting new patients |
| PCPT of West Baton Rouge, Inc | Physical Therapist | Past | Accepting new patients |
| Physicians' Choice Physical Therapy & Pain Center LLC | Physical Therapist | Past | Accepting new patients |
Locations
7069 Perkins Rd
Ste A
Baton Rouge, LA 70808
Phone (225) 769-6161
8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633
6756 Langley Dr
#A
Baton Rouge, LA 70809
6756 Langley Dr
Baton Rouge, LA 70809
Phone (225) 663-8232
400 W St Francis St
Ste A1
Brusly, LA 70719
Phone (225) 960-2680
4463 Hwy 1 S
Ste D
Port Allen, LA 70767
Phone (225) 749-8980
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07694 | LA | Yes |
Addresses
Primary practice location
59295 River West Drive
Plaquemine, LA 70764
Mailing address
3797 Bigman Lane
Torbert, LA 70762
Phone (225) 939-3923
Other providers in Plaquemine, LA
- Shamecca Talithea Causey
- Kylee Ann Champagne
- Megan Chase
- Anmol Chaudhary
- David Keith Chauvin Jr.
- Joshua Rai Clark
- Kyra Collins Carlin
- Eva Collins
- Vicky Comeaux
- Comfort Care Hospice and Healthcare Services LLC
All providers in Plaquemine, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.