MR. MICHAEL MICCO (NPI# 1487291928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487291928 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL MICCO |
| Credential | DPT |
| Practice Address |
70 Day St Apt 2 Boston MA 02130-1191 |
| Practice Telephone | 3392223758 |
| Mailing Telephone | 3392223758 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
24108 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
70 DAY ST APT 2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02130-1191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801252317 | Melissa Mae Hines | Physical Therapist | 364 Boylston St, Boston, MA 02116-3806 | 2016-01-13 |
| 1487877585 | Jennifer Guerin | Physical Therapist | 11 Belvidere St Apt 4, Boston, MA 02115-3143 | 2007-04-10 |
| 1144310210 | Dustienne Miller | Physical Therapist | 262 Beacon St Ste 5, Boston, MA 02116-1295 | 2006-10-12 |
| 1659372324 | Marco Volpe | Physical Therapist | 28 Atlantic Ave, 125 Lewis Wharf, Boston, MA 02110-3926 | 2005-08-03 |
| 1831722305 | Adam Schmidt | Physical Therapist | 15 Parkman St Ste 128, Boston, MA 02114-3117 | 2020-02-12 |
| 1528608049 | Emma Zeligson | Physical Therapist | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2020-01-13 |
| 1790331064 | Personal Pt | Physical Therapist | 87 Gainsborough St Apt 408, Boston, MA 02115-6537 | 2019-08-13 |
| 1861973588 | Caleigh Marie O'brien | Physical Therapist | 915 Commonwealth Ave, Boston, MA 02215-1394 | 2018-08-22 |
| 1649797002 | Jessica Moy | Physical Therapist | 4 Water St, Boston, MA 02109 | 2017-08-26 |
| 1275081168 | Jeffrey Leblanc | Physical Therapist | 811 Massachusetts Ave, Boston, MA 02118-2605 | 2016-09-20 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on MR. MICHAEL MICCO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.