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

Mrs. Michelle G Licciardello, PT, CERTMDT

Individual provider Physical Therapist · NPI 1730238585

Mrs. Michelle G Licciardello, PT, CERTMDT is a Physical Therapist in Oswego, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

90 W Utica St
Oswego, NY 13126-3048
Phone: (315) 342-2738
Fax: (315) 342-2815
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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 0134981 (NY)

Record details

NPI number1730238585
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , CERTMDT
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007

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