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

Mia Picciano, DPT

Individual provider Physical Therapist · NPI 1730919432

Mia Picciano, DPT is a Physical Therapist in Private Practice in Avondale, Arizona. Qualified in 2024, 2 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Virginia.

Years since qualifying
2
Licensed in
MA, VA
In the registry since
2024
Specialties on file
3
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

1729 N Dysart Rd
Avondale, AZ 85392-1224
Phone: (623) 295-3630
Fax: (623) 469-7385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14 McGrath Hwy Unit 5, Somerville, MA 02143-4505 — (617) 284-9418
  • 5204 Fairfield Shopping Ctr, Virginia Beach, VA 23464-4212 — (757) 467-4603

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL28157 (MA)
Physical Therapist Taxonomy 225100000X · Licence 2305216693 (VA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1730919432
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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