Individual provider Active NPI

Nicholas Por, PHYSICAL THERAPIST

  • Physical Therapist
  • New York, NY
National Provider Identifier
1629026026
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022183-1 Issued in NY
Practice address
200 Park Ave
Ground FL.
New York, NY 10166-0005
Phone
(212) 953-9494
Fax
(212) 682-2013
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 022183-1 NY Primary

Addresses

Primary practice location

200 Park Ave
Ground FL.
New York, NY 10166-0005

Mailing address

200 Park Ave
Ground FL.
New York, NY 10166-0005
Phone (212) 953-9494

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000563 NY Practitioner - Physical Therapist in Private Practice 8426247180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

1086 Bdway
Yonkers, NY 10701-1112
Phone (914) 771-9666

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022183-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Mar 29, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Mar 29, 2023 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Mar 13, 2023 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

1086 N Broadway
Yonkers, NY 10701
Phone (914) 771-9666

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629026026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE",
            "address_2": "GROUND FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101660005",
            "telephone_number": "212-953-9494",
            "fax_number": "212-682-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE",
            "address_2": "GROUND FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101660005",
            "telephone_number": "212-953-9494",
            "fax_number": "212-682-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POR",
        "first_name": "NICHOLAS",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022183-1",
            "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 Jul 13, 2026; 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.