Vicky De Micco (NPI# 1316213408, PAC ID# 5698040335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1316213408 |
| PAC ID by PECOS | 5698040335 |
| Professional Enrollment ID | I20171006000258 |
| Full Name | Vicky De Micco |
| Organization Legal Name | CAROLINA PHYSICAL THERAPY AND SPORTS MEDICINE LIMITED PARTNERSHIP |
| Address |
1718 Saint Julian Pl Columbia SC 29204-2410 |
| Phone Number | 8037710370 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7517236557 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 8037710370 | CAROLINA PHYSICAL THERAPY AND SPORTS MEDICINE LIMITED PARTNERSHIP |
| Organization Legal Name | CAROLINA PHYSICAL THERAPY AND SPORTS MEDICINE LIMITED PARTNERSHIP |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Anne Guzak | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 75 W Wesmark Blvd, Sumter, SC 29150-1955 |
| Bradley Saunders | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 141 Atrium Way, Columbia, SC 29223-6301 |
| Michael Thomas Kelly | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 3040 Hwy 17n A, Mt Pleasant, SC 29465-9315 |
| Allison M Decory | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 863 Coleman Blvd, Suite B, Mt Pleasant, SC 29464-4065 |
| Brandon Young | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 229 Saluda Springs Rd, Lexington, SC 29072-6667 |
| Andrew B Kiser | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 1812 Hampton St, Columbia, SC 29201-3580 |
| Blake L Fletcher | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 10071 Broad River Rd, Suite B, Irmo, SC 29063-2381 |
| Shawna L Hilferty | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 75 W Wesmark Blvd, Sumter, SC 29150-1955 |
| David B Scott | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 75 W Wesmark Blvd, Sumter, SC 29150-1955 |
| Laura Elizabeth Thomas Mcclendon | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 141 Atrium Way, Columbia, SC 29223-6301 |
| Street Address |
1718 SAINT JULIAN PL |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Garrett Ulcak | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 1718 Saint Julian Pl, Columbia, SC 29204-2410 |
| Luke D Abney | Physical Therapy | Carolina Physical Therapy and Sports Medicine Limited Partnership | 1718 Saint Julian Pl, Columbia, SC 29204-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Lanneau D Lide | Cardiovascular Disease (cardiology) | Providence Group Practices LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Stephanie C Peterson | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | COLUMBIA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Vicky De Micco.
| 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.