Nicholas Cicero Iv (NPI# 1942534441, PAC ID# 1557408325) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1942534441 |
| PAC ID by PECOS | 1557408325 |
| Professional Enrollment ID | I20091027000715 |
| Full Name | Nicholas Cicero Iv |
| Organization Legal Name | PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC |
| Address |
4463 Hwy 1 S B Port Allen LA 70767 |
| Phone Number | 2257498980 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4688638323 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7069 Perkins Rd A, Baton Rouge, LA 70808-7201 | 2257696161 | PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC |
| 4463 Hwy 1 S B, Port Allen, LA 70767 | 2257498980 | PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC |
| Organization Legal Name | PEAK PERFORMANCE PHYSICAL THERAPY AND FITNESS LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa Anne Guedry | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Alex S Baronich | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 3103 Monterrey Blvd A, Baton Rouge, LA 70814-4024 |
| Scott Dickie | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 36491 Dutchtown Gardens Ave, Geismar, LA 70734-3081 |
| Jason E Greene | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 7069 Perkins Rd A, Baton Rouge, LA 70808-7201 |
| Steven C Wilson | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 145 Aspen Square A, Denham Springs, LA 70726-5304 |
| Patrick K Cook | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 750 Jefferson Hwy, Baton Rouge, LA 70806-6118 |
| Fabian A Roussel | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 11320 Industriplex Blvd, Baton Rouge, LA 70809-4108 |
| Lacie C Barbier | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 10202 Jefferson Hwy B1, Baton Rouge, LA 70809-3183 |
| Adam A Elam | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 750 Jefferson Hwy, Baton Rouge, LA 70806-6118 |
| Ashley Wood | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 145 Aspen Square A, Denham Springs, LA 70726-5304 |
| Street Address |
4463 HWY 1 S B |
| City | PORT ALLEN |
| State | LA |
| Zip | 70767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa Anne Guedry | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Jennifer S Berthelot | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Clint A Caballero | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Santhosh K Reddy | Internal Medicine | 970 N Alexander Ave, Port Allen, LA 70767-2121 | |
| Radhiya K Lewis | Nurse Practitioner | Louisiana Department of Health - Office of Public Health | 685 Louisiana Ave, Port Allen, LA 70767-2144 |
| Philip Padgett | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Amanda Watts | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Henry C Dixon Iii | Internal Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Kirby D Humbles | Nurse Practitioner | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Steven T Gremillion | Cardiovascular Disease (cardiology) | Our Lady of The Lake Physician Group LLC | 610 N Jefferson Ave, Louisiana Cardiology Associates, Port Allen, LA 70767-2414 |
| Kayla Mouch Richoux | Nurse Practitioner | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Tarisha R Mixon | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Henry Young Jr. | Family Practice | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Find all physicians in zip 70767 | |||
| City | PORT ALLEN |
| Zip Code | 70767 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PORT ALLEN + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.