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Mrs. Michelle G Licciardello, PT, CERT MDT

Physical Therapist in Oswego, NY · enumerated 2007 · practices at Ontario Lakeside Medical Associates.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730238585

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Registry record

Entity type Individual (Type 1)
Name Mrs. Michelle G Licciardello
Credential PT, CERT MDT
Sex Female
Practice address 90 W Utica St, Oswego, NY, 13126
Phone (315) 342-2738
Fax (315) 342-2815
Enumeration date Jan 10, 2007
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 0134981 (NY) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Michelle Licciardello practice?
The practice location on file with NPPES is in Oswego, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michelle Licciardello?
The National Provider Identifier (NPI) for Michelle Licciardello is 1730238585, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.