Grace Marie Nikolski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050093 Issued in NY

Practice address

2 Delavergne Ave
Wappingers Falls, NY 12590-1202

Phone

(845) 297-4789

NPI assigned

Feb 27, 2023

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campilii-Snyder Physical Therapy PCGroup PAC ID 3375433972, 18 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Campilii-Snyder Physical Therapy PC

  dba Center For Physical Therapy

  • Physical Therapist
  • Wappingers Falls, NY
  • NPI 1184655672
  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  Medicare reassignment NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1306545538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DELAVERGNE AVE",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901202",
            "telephone_number": "845-297-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DELAVERGNE AVE",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901202",
            "telephone_number": "845-297-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLSKI",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Image Interventional Radiology, PLLC
• New York Hand & Physical Therapy PLLC
• John E Nicholson, DMD
• Nicole Quilter LCSW PLLC
• Mackenzie Nigro, PHARMD
• Frederick Charles Ninnis, DDS
• Cindy Noah
• Lisa Anne Noble, LPN
• Northern Psychiatric Services
• Northern Psychiatric Services PC

• Physical Therapist in Wappingers Falls, NY
• Providers in Wappingers Falls, 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 27, 2023; 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.