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

Individual provider Pediatric Physical Therapist · NPI 1700643087

Nicola Susana Ciccomancini, PT, DPT is a Pediatric Physical Therapist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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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 27393 (MA)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 27393 (MA)

Record details

NPI number1700643087
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 3, 2024

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