Individual provider · Type 1 NPI
Michael Louis Scicchitano Sr., PT
Geriatric Physical Therapist · Port Jefferson Station, NY
Practice location
3 Colgate Street
Port Jefferson Station, NY 11776
Mailing address
3 Colgate St
Port Jefferson Station, NY 11776-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 019032 (NY) |
Geriatric Physical Therapist: 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 pat…
About NPI 1366962185
Michael Louis Scicchitano Sr., PT's National Provider Identifier is 1366962185, issued on Jun 22, 2017. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 21, 2022.