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

Mr. Edgardo Mesias Livica, RPT

Individual provider Physical Therapy Clinic/Center · NPI 1669468666

Mr. Edgardo Mesias Livica, RPT is a Physical Therapist in Private Practice in Bronx, New York. Qualified in 1992, 34 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

787 Lydig Ave
Bronx, NY 10462-2144
Phone: (718) 775-6025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2510 Westchester Ave, Bronx, NY 10461-3512 — (718) 775-6025

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 015653 (NY)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 015653 (NY)

Record details

NPI number1669468666
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedSeptember 25, 2005
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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