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

Individual provider Physical Therapist · NPI 1386217065

Stacey Italiano, PT is a Physical Therapist in Private Practice in Lake Grove, New York. Qualified in 2008, 18 years ago. Practices with Metro Physical Occupational Speech Massage Therapy and Acupuncture Pll, a 448-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2021
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

1 Glen Way
Lake Grove, NY 11755-2203
Phone: (613) 521-5137
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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 047174 (NY)

Record details

NPI number1386217065
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 21, 2021
Last updated in NPPESJuly 21, 2021
Certification dateJuly 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Grove