Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK MARIO DECICCO, MPT
ActiveDEREK MARIO DECICCO, MPT is a Physical Therapy Assistant healthcare provider located in IRVINE, California. NPI 1427283894 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · IRVINE, CA
Registration Details
- NPI Number
- 1427283894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2009 (17.223686521412 yrs)
- Last Updated
- Feb 4, 2011
- License
-
33639 (CA)
Practice Information
- Address
-
15775 LAGUNA CANYON RD STE 110IRVINE, CA, 926183192Browse CA providers · Browse ZIP 92618
- Phone
- 7148584617
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in IRVINE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARYSA GLABMAN | M.P.T. | 1760476790 |
| MR. KENJI YOSHINO | D.P.T., A.T., C. | 1275528911 |
| PAMELA DORNER | P.T. | 1326028374 |
| TRACY BURROWS | MPT, OCS | 1245204478 |
| DR. JASON HYUK PARK | D.P.T. | 1053370239 |
| MR. VICTOR CHANG | PT | 1992767883 |
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.