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

Nicholas Cacicedo, DPT

Individual provider Physical Therapist · NPI 1043073331

Nicholas Cacicedo, DPT is a Physical Therapist in Private Practice in Allen Park, Michigan. Qualified in 2023, 3 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
3
Licensed in
FL, MI
In the registry since
2024
Specialties on file
2
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

16000 Southfield Rd
Allen Park, MI 48101-2563
Phone: (313) 359-8867
Fax: (313) 359-8868
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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 5501303520 (MI)
Physical Therapist Taxonomy 225100000X · Licence PT41293 (FL)

Record details

NPI number1043073331
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 31, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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