MRS. MICHELLE G LICCIARDELLO PT, CERT MDT
NPI 1730238585
Physical Therapist in Oswego, NY

Active since January 10, 2007
90 W UTICA ST, OSWEGO, NY 13126(315) 342-2738(315) 342-2815 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Michelle G Licciardello Pt, Cert Mdt NPPES

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

MRS. MICHELLE G LICCIARDELLO PT, CERT MDT (NPI 1730238585) is an individual physical therapist in Oswego, New York, licensed in New York (0134981) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1730238585
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. MICHELLE G LICCIARDELLOCredential: PT, CERT MDT
Location Address90 W UTICA STOswego, NY 13126-3048
Mailing Address90 W Utica StOswego, NY 13126-3048 · (315) 342-2738 · Fax (315) 342-2815
Fax(315) 342-2815
Sole ProprietorNo
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1730238585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 0134981
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
90 W UTICA ST, Oswego, NY 13126

Other Identifiers 3

Other4130726NY · Mvp Select Care
Medicare ID-Type UnspecifiedBB5786NY · Medicare Number
Other11353159NY · Caqh Number

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
90 W UTICA ST
OSWEGO, NY 13126
Internal Medicine
90 W UTICA ST
OSWEGO, NY 13126
Internal Medicine
90 W UTICA ST, STE 2
OSWEGO, NY 13126

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 Michelle Licciardello's NPI number?

The NPI number for Michelle Licciardello is 1730238585. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Michelle Licciardello located?

Michelle Licciardello practices at 90 W Utica St, Oswego, NY 13126. The listed phone number is (315) 342-2738.

What is Michelle Licciardello's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Michelle Licciardello was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.