Individual provider Active NPI

Nicholas Athanasatos, DPT

  • Orthopedic Physical Therapist
  • Pleasantville, NY
National Provider Identifier
1306357074
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P08298 Issued in NY
Practice address
3 Campus Dr Ste 201
Pleasantville, NY 10570-1602
Phone
(914) 924-4129
NPI assigned
Oct 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X P08298 NY Primary

Addresses

Primary practice location

3 Campus Dr Ste 201
Pleasantville, NY 10570-1602

Mailing address

16 Clovebrook Rd
Valhalla, NY 10595-1304
Phone (914) 924-4129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208000414 NY Practitioner - Physical Therapist in Private Practice 2466719919 Reassigns benefits to 1 organization
Practice locations: Pleasantville, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Peak Physical Therapy P.L.L.C.Group PAC ID 9537607528, 3 clinicians

Practice addresses (Care Compare)

3 Campus Dr
Suite 201
Pleasantville, NY 10570-1602
Phone (914) 400-0535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042610NYMDGeneral Practice Dentistry
P08298NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Peak Physical Therapy P.L.L.C. Orthopedic CurrentSince Sep 2, 2024 Accepting new patients
Atlas One on One Physical Therapy, PLLC Orthopedic PastSince Sep 2, 2024 Accepting new patients

Locations

3 Campus Dr
Ste 201
Pleasantville, NY 10570
Phone (914) 400-0535

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": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1306357074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CLOVEBROOK RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951304",
            "telephone_number": "914-924-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CAMPUS DR STE 201",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105701602",
            "telephone_number": "914-924-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANASATOS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "P08298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.