Individual provider Active NPI

Nicholas Calabro, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1477413581
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43837 Issued in FL
Practice address
104 Ashourian Ave Ste 105
St Augustine, FL 32092-5106
Phone
(904) 230-7761
NPI assigned
Nov 12, 2025
Sex
Male
Sole proprietor
No

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.

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
43837FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Rehabilitation Hospital, Inc. PastSince Nov 18, 2025 Accepting new patients
Genesis Rehabilitation Hospital, Inc. PastSince Nov 18, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43837 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

104 Ashourian Ave Ste 105
St Augustine, FL 32092-5106

Mailing address

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7251

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2025.

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1477413581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164312",
            "telephone_number": "904-345-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ASHOURIAN AVE STE 105",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925106",
            "telephone_number": "904-230-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRO",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "43837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.