Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER CICINELLI
DeactivatedPETER CICINELLI is a Physical Therapy Assistant healthcare provider located in ROSWELL, Georgia. NPI 1164801387 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ROSWELL, GA
This NPI has been deactivated.
The record was deactivated on May 6, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1164801387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2015 (6.9616438356164 yrs)
- Last Updated
- Sep 27, 2025
- Deactivated
- May 6, 2022
- Licenses
-
012818 (GA)0013255 (CO)
Practice Information
- Address
-
11660 ALPHARETTA HWY STE 305ROSWELL, GA, 300763877Browse GA providers · Browse ZIP 30076
- Phone
- 4707150571
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in ROSWELL, GA
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELLE LOUISE CAMARATA | MHA MDT PT | 1255329934 |
| LUZ ANGELA AYALDE | PT | 1538122510 |
| CONNIE CHEUNG | DPT, MPH, RD/LD | 1811944317 |
| BRAD STEPHEN FREEMYER | PT | 1336196948 |
| MR. WILLIAM J IVEY JR. | PT | 1568402113 |
| JUDY DODD ALLEN | PT | 1598790297 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.