Stephanie Lee Ciccarella, MPT
Individual provider Active NPI Physical Therapist · Alexandria, KY
NPI 1992966642 · NPPES record last updated Jun 24, 2008
Key facts
- NPI
- 1992966642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT.011763 (OH)
- Practice address
- 9347 Indian Trace Rd
Alexandria, KY 41001-7896 - Phone
- (859) 803-0417
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.011763 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.011763 | OH | Yes |
Addresses
Primary practice location
9347 Indian Trace Rd
Alexandria, KY 41001-7896
Mailing address
9347 Indian Trace Rd
Alexandria, KY 41001-7896
Phone (859) 803-0417
Other providers in Alexandria, KY
- Susan Buscher
- Campbell County Board of Education
- Campbell Fire & Rescue
- Haley Marie Canup
- Kathleen Carrillo
- Cincinnati Healthcare Group PSC, Dba Patient First Physicians Group
- Communitty Options, Inc
- Heather D Conley
- Allison Conner
- Thomas T Costello
All providers in Alexandria, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.