MR. JOHN MICHAEL CIAVAGLIA (NPI# 1821163601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821163601 |
| Entity Type | Individual |
| Full Name | MR. JOHN MICHAEL CIAVAGLIA |
| Credential | PT |
| Practice Address |
790 Ayrault Road Fairport NY 14450 |
| Practice Telephone | 5854251018 |
| Practice Fax Number | 5854258955 |
| Mailing Telephone | 5854251018 |
| Mailing Fax Number | 5854258955 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
0102771 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 7344272 | 01 |
| NY | PREFERRED CARE | 103116FT | 01 |
| NY | BLUE CHOICE | P010010277 | 01 |
| Street Address |
790 AYRAULT ROAD |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831399906 | Marcia Spoto | Physical Therapist | 790 Ayrault Road, Fairport, NY 14450 | 2007-07-18 |
| 1699973149 | Kali Jeanne Larue | Physical Therapist | 790 Ayrault Road, Star Physical Therapy, Fairport, NY 14450 | 2007-07-06 |
| 1003962523 | Star Physical Therapy Pllc | Physical Therapist | 790 Ayrault Road, Fairport, NY 14450 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831399906 | Marcia Spoto | Physical Therapist | 790 Ayrault Road, Fairport, NY 14450 | 2007-07-18 |
| 1699973149 | Kali Jeanne Larue | Physical Therapist | 790 Ayrault Road, Star Physical Therapy, Fairport, NY 14450 | 2007-07-06 |
| 1003962523 | Star Physical Therapy Pllc | Physical Therapist | 790 Ayrault Road, Fairport, NY 14450 | 2007-01-26 |
| 1073688875 | Laurie Ann Wiese | Physical Therapist | 790 Ayrault Rd, Fairport, NY 14450 | 2006-11-21 |
| 1639244411 | Andrew John Opett | Physical Therapist | 790 Ayrault Rd, Fairport, NY 14450 | 2006-11-21 |
| 1659446441 | Anthony S Mencucci | Physical Therapist | 790 Ayrault Rd, Fairport, NY 14450 | 2006-11-21 |
| 1811062607 | Valerie V Mcgrath | Physical Therapist | 790 Ayrault Rd, Fairport, NY 14450 | 2006-11-21 |
| 1063587392 | Allison Beth Kling Simonian | Physical Therapist | 790 Ayrault Rd, Fairport, NY 14450 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JOHN MICHAEL CIAVAGLIA.
| 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.