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

Lacey Cavallo, DPT

Individual provider Physical Therapist · NPI 1497281836

Lacey Cavallo, DPT is a Physical Therapist in Private Practice in Long Beach, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2010, 16 years ago. Practices with Beach Wellness Physical Therapy, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

464 Grand Blvd
Long Beach, NY 11561-1742
Phone: (516) 330-9213
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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 0331971 (NY)

Record details

NPI number1497281836
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 4, 2017
Last updated in NPPESMay 4, 2017
Mailing address464 Grand Blvd, Long Beach, NY 11561-1742

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Beach Wellness Physical Therapy, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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