Nicky Triantafyllos, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039741 Issued in NY

Practice address

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802

Phone

(516) 829-0030

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy Occupational Therapy and Rehabilitation ServicGroup PAC ID 0446140446, 529 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
  • NPI 1770540593
  Medicare reassignment Care Compare group NPD
• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097

  Physical Therapist

  Medicare reassignment NPD
• Link Home Therapy Services of Ny-PT OT SLP PLLC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
  • NPI 1942782966
  NPD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Occupational Therapist
  • White Plains, NY
  • NPI 1629825591
  NPD
• Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr

  • Physical Therapy Clinic/Center
  • San Francisco, CA
  • NPI 1205112174

  Physical Therapist

  NPD
• Agk Physical Therapy and Acupuncture PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1184094294
  NPD (past)
• New York Pain Management Services PC

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1982659751
  NPD (past)
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
  • NPI 1386228302

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1073979688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD STE 37",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NORTHERN BLVD STE 11",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214802",
            "telephone_number": "516-829-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Gray Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "93101",
            "country_code": "US",
            "telephone_number": "805-681-9108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Broad St Ste 1401",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042249",
            "country_code": "US",
            "telephone_number": "212-943-4999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Broad St Ste 1401",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042249",
            "country_code": "US",
            "telephone_number": "212-943-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIANTAFYLLOS",
        "first_name": "NICKY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296149",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• True North Dialysis Center LLC

• Physical Therapist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.