Provider Demographics
NPI:1710864533
Name:MICELI, JULIANA ROSEMARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:ROSEMARIE
Last Name:MICELI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 PAPERBARK LN
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-8593
Mailing Address - Country:US
Mailing Address - Phone:585-953-6791
Mailing Address - Fax:
Practice Address - Street 1:880 ELMGROVE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1320
Practice Address - Country:US
Practice Address - Phone:585-247-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054609225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist