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

Daniel Licamara

Individual provider Physical Therapy Assistant · NPI 1689344574

Daniel Licamara is a Physical Therapy Assistant in Wayne, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

1055 Hamburg Tpke
Wayne, NJ 07470-3235
Phone: (973) 559-4056
Fax: (973) 710-1059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00386400 (NJ)

Record details

NPI number1689344574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

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