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

Raquel Marie Divincenzo

Individual provider Physical Therapist · NPI 1013481316

Raquel Marie Divincenzo is a Physical Therapist in Private Practice in Mahopac, New York. Qualified in 2023, 3 years ago. Practices with Campilii-Snyder Physical Therapy PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

112 Cortlandt Rd
Mahopac, NY 10541-3620
Phone: (845) 531-9572
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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 051132 (NY)

Record details

NPI number1013481316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2019
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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 Campilii-Snyder Physical Therapy Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mahopac