Individual provider Active NPI

Nicholas Paul Puleo, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1184406290
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
049559 Issued in NY
Practice address
1384 Broadway RM 606
New York, NY 10018-6110
Phone
(212) 302-0141
Fax
(212) 302-0153
NPI assigned
Oct 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 049559 NY Primary

Addresses

Primary practice location

1384 Broadway RM 606
New York, NY 10018-6110

Mailing address

1384 Broadway RM 606
New York, NY 10018-6110
Phone (212) 302-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
049559NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Physical Therapy, LLC Physical Therapist CurrentSince Oct 22, 2023 Accepting new patients
Lifestyle Rehabilitation LLC Physical Therapist CurrentSince Nov 8, 2025 Accepting new patients

Locations

1384 Broadway
Rm 606
New York, NY 10018
Phone (212) 302-0141

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1184406290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 BROADWAY RM 606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186110",
            "telephone_number": "212-302-0141",
            "fax_number": "212-302-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 BROADWAY RM 606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186110",
            "telephone_number": "212-302-0141",
            "fax_number": "212-302-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULEO",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.