Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

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

Other identifiers

Identifier	Type	State	Issuer
4130726	Other	NY	MVP SELECT CARE
11353159	Other	NY	CAQH NUMBER

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.

Read the full guide → Validate an NPI →

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.

Other providers at this practice address

Browse all →

Carlos Dator Internal Medicine Physician · Oswego, NY NPI 1447271259 Ontario Lakeside Medical Associates Internal Medicine Physician · Oswego, NY NPI 1184645368 Vincent Verginio Physical Therapist · Oswego, NY NPI 1114076940

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