Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS MICHAEL LICAMELI, PT, DPT
Active Sole ProprietorDR. NICHOLAS MICHAEL LICAMELI, PT, DPT is a Physical Therapy Assistant healthcare provider located in CLIFTON, New Jersey. NPI 1386043677 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CLIFTON, NJ
Registration Details
- NPI Number
- 1386043677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2014 (11.975936155549 yrs)
- Last Updated
- Aug 22, 2014
- License
-
40QA01560900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2 BRIGHTON RDCLIFTON, NJ, 070121663Browse NJ providers · Browse ZIP 07012
- Phone
- 9739286969
- Fax
- 9739286968
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CLIFTON, NJ
| Name | Credential | NPI |
|---|---|---|
| CHARO BALAGTAS BODIONGAN | — | 1891746038 |
| BEAU MALIMAS | — | 1134171960 |
| MR. ROBERT MANLEY | MPT | 1962443770 |
| MALVIN MISAEL TORRALBA | P.T. | 1043255565 |
| KEITH ENRIQUEZ | P.T. | 1053341628 |
| MR. JOEY RAINES | DIRECTOR | 1518999085 |
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.