Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anthony S Mencucci, PT

Individual provider Orthopedic Physical Therapist · NPI 1659446441

Anthony S Mencucci, PT is a Physical Therapist in Private Practice in Fairport, New York. Qualified in 1993, 33 years ago. Practices with Star Physical Therapy PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

790 Ayrault Rd
Fairport, NY 14450
Phone: (585) 425-1018
Fax: (585) 425-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 0149671 (NY)

Record details

NPI number1659446441
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESFebruary 24, 2015
Mailing address417 Macedon Center Rd, Macedon, NY 14502

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Star Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairport