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

Jodie Cicco, PT, DPT

Individual provider Physical Therapist · NPI 1508288317

Jodie Cicco, PT, DPT is a Physical Therapist in Private Practice in Yuma, Arizona. Qualified in 2008, 18 years ago. Practices with Institute of Manual Physical Therapy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1380 S Castle Dome Ave
Yuma, AZ 85365-2024
Phone: (928) 259-7758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 010825 (AZ)

Record details

NPI number1508288317
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 13, 2014
Last updated in NPPESMay 6, 2023
Certification dateMay 6, 2023
Mailing address10229 E 39th Way, Yuma, AZ 85365-5454

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Institute Of Manual Physical Therapy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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