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MR. MICHAEL LOUIS SCICCHITANO SR. PT
NPI 1366962185
Physical Therapist - Geriatrics in Port Jefferson Station, NY

Active since June 22, 2017
3 COLGATE STREET, PORT JEFFERSON STATION, NY 11776(631) 457-9158 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 22, 2017 (2 updates tracked since 2017).

About Mr. Michael Louis Scicchitano Sr. Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL LOUIS SCICCHITANO SR. PT (NPI 1366962185) is an individual geriatrics provider in Port Jefferson Station, New York, licensed in New York (019032) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1366962185
Entity TypeIndividualMale
Primary Taxonomy2251G0304X
Provider Legal NameMR. MICHAEL LOUIS SCICCHITANO SR.Credential: PT
Location Address3 COLGATE STREETPort Jefferson Station, NY 11776
Mailing Address3 Colgate StPort Jefferson Station, NY 11776-2803 · (631) 457-9158
Phone(631) 457-9158
Sole ProprietorYes
Enumeration DateJune 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1366962185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in NY · 019032
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
3 COLGATE STREET, Port Jefferson Station, NY 11776
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Scicchitano's NPI number?

The NPI number for Michael Scicchitano is 1366962185. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Michael Scicchitano located?

Michael Scicchitano practices at 3 Colgate Street, Port Jefferson Station, NY 11776. The listed phone number is (631) 457-9158.

What is Michael Scicchitano's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Michael Scicchitano was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.