| Nicholas Cacicedo, DPT | |
|
16000 Southfield Rd, Allen Park, MI 48101-2563 | |
| (313) 359-8867 | |
| (313) 359-8868 |
| Full Name | Nicholas Cacicedo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 16000 Southfield Rd, Allen Park, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043073331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT41293 (Florida) | Secondary |
| 225100000X | Physical Therapist | 5501303520 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Rehabilitation Services Llc | 2264479518 | 540 |
| Provider Name | Team Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548932619 PECOS PAC ID: 2264479518 Enrollment ID: O20211027001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Cacicedo, DPT 33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258 Ph: () - | Nicholas Cacicedo, DPT 16000 Southfield Rd, Allen Park, MI 48101-2563 Ph: (313) 359-8867 |
Noor Hamed, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Republic Dr, Allen Park, MI 48101 Phone: 313-522-5777 Fax: 313-436-5188 | |
Mrs. Laura Luann Agemak, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7445 Allen Rd Ste 102, Allen Park, MI 48101 Phone: 313-389-5600 Fax: 313-389-0288 | |
Mihir Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15636 Southfield Rd, Allen Park, MI 48101 Phone: 313-928-0700 | |
Bushra Munawar, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7312 Park Ave, Allen Park, MI 48101 Phone: 313-382-3844 Fax: 313-382-3844 | |
Pioneer Physical Therapy & Rehab P C Physical Therapist Medicare: Medicare Enrolled Practice Location: 7312 Park Ave, Allen Park, MI 48101 Phone: 313-382-3844 Fax: 313-382-3748 | |
Monica Yalamanchili, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7445 Regina Ave, Allen Park, MI 48101 Phone: 313-389-5600 |