Individual provider · Type 1 NPI
James P. Riccelli, PT., ECS, CERT MDT
Clinical Electrophysiology Physical Therapist · East Syracuse, NY
Practice location
4939 Brittonfield Pkwy
East Syracuse, NY 13057-9208
Fax (315) 634-3264
Mailing address
4939 Brittonfield Parkway, Suite 103
East Syracuse, NY 13057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Electrophysiology Physical Therapist Primary | 2251E1300X | 009034-1 (NY) |
| Specialist | 174400000X | 0090341 (NY) |
Clinical Electrophysiology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve p…
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About NPI 1417927682
James P. Riccelli, PT., ECS, CERT MDT's National Provider Identifier is 1417927682, issued on Jan 23, 2006. The primary taxonomy on file is Clinical Electrophysiology Physical Therapist (2251E1300X), and the practice location is in East Syracuse, NY. The record was last updated on Dec 6, 2018.