Individual provider · Type 1 NPI

Fabiola Caicedo, PTA

Physical Therapy Assistant · Valley Stream, NY

NPI number 1114833704 Active

Practice location

140 W Merrick Rd
Valley Stream, NY 11580-5511

Call (516) 423-4652 Map

Mailing address

21229 Hillside Ave Apt 5EE
Queens Village, NY 11427-1847

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X009732-01 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

4 other providers at this address

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About NPI 1114833704

Fabiola Caicedo, PTA's National Provider Identifier is 1114833704, issued on Aug 21, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Valley Stream, NY. The record was last updated on Aug 21, 2026.