Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael James Lattanzio, MS, PT

Individual provider Physical Therapist · NPI 1063525921

Mr. Michael James Lattanzio, MS, PT is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2005, 21 years ago. Practices with Rb Physical and Occupational Therapy, PLLC, a 312-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4079 Richmond Ave
Staten Island, NY 10312-5633
Phone: (718) 984-8400
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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 027732 (NY)

Record details

NPI number1063525921
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Rb Physical And Occupational Therapy, Pllc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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