MEDICARE: MICHAEL CICHY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	054790	NY
2	225100000X	Physical Therapist	66070	OR

General Provider Information

NPI Number	:	1316871445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL CICHY

Provider Business Mailing Address
First Line	:	39111 6 MILE RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	39111 6 MILE RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3909
Country	:	US
Telephone Number	:	866-991-0900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ MICHAEL CICHY ” Practice Location

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