| Nicholas Cicero Iv, DPT | |
|
59295 River West Drive, Plaquemine, LA 70764 | |
| (225) 687-2066 | |
| (225) 687-2067 |
| Full Name | Nicholas Cicero Iv |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 59295 River West Drive, Plaquemine, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942534441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 07694 (Louisiana) | Primary |
| Provider Name | Baton Rouge Orthopaedic Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770503690 PECOS PAC ID: 3274446414 Enrollment ID: O20031112000509 |
| Provider Name | Peak Performance Physical Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1770166886 PECOS PAC ID: 0446651178 Enrollment ID: O20210701000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Cicero Iv, DPT 3797 Bigman Lane, Torbert, LA 70762 Ph: (225) 939-3923 | Nicholas Cicero Iv, DPT 59295 River West Drive, Plaquemine, LA 70764 Ph: (225) 687-2066 |
Kennedy Taylor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59295 River West Dr Ste G, Plaquemine, LA 70764 Phone: 225-238-2955 | |
Todd Truitt Janney Sr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59295 River West Dr, Ste H, Plaquemine, LA 70764 Phone: 225-687-2066 Fax: 225-687-2067 | |
Laura Matson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59295 River West Dr, Plaquemine, LA 70764 Phone: 225-385-4010 |