Provider Demographics
NPI:1467339267
Name:CALICCHIA, PETER ALEXANDER (DPT)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ALEXANDER
Last Name:CALICCHIA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10707-1040
Mailing Address - Country:US
Mailing Address - Phone:914-619-4774
Mailing Address - Fax:
Practice Address - Street 1:5 PLAIN AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-2204
Practice Address - Country:US
Practice Address - Phone:914-725-5414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054750225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist