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

Mimi M Sicilio, BSINPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1871133546

Mimi M Sicilio, BSINPT is a Physical Medicine & Rehabilitation Physician in College Station, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

1600 Wolf Pen Ct
College Station, TX 77840-3169
Phone: (979) 739-9696
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1021400 (TX)

Record details

NPI number1871133546
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSINPT
Sole proprietorYes
NPI enumeratedJanuary 10, 2020
Last updated in NPPESJanuary 10, 2020
Certification dateJanuary 10, 2020

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