Individual provider Active NPI

Nicholas Bartolotto, PT

  • Physical Therapist
  • Hicksville, NY
National Provider Identifier
1801078928
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025159 Issued in NY
Practice address
81 N Broadway
Hicksville, NY 11801-2920
Phone
(516) 622-9515
Fax
(516) 622-9518
NPI assigned
Nov 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 025159 NY Primary

Addresses

Primary practice location

81 N Broadway
Hicksville, NY 11801-2920

Mailing address

81 N Broadway
Hicksville, NY 11801-2920
Phone (516) 622-9515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000303 NY Practitioner - Physical Therapist in Private Practice 5698856037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Spine and Sports Medicine PCGroup PAC ID 2860593175, 3 clinicians

Practice addresses (Care Compare)

81 N Broadway
Hicksville, NY 11801-2920
Phone (516) 622-9515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Spine & Sports Medicine PC Physical Therapist CurrentSince Oct 8, 2007 Accepting new patients

Locations

81 N Broadway
Hicksville, NY 11801
Phone (516) 827-7400

Organizations & group practices 1

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1801078928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012920",
            "telephone_number": "516-622-9515",
            "fax_number": "516-622-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012920",
            "telephone_number": "516-622-9515",
            "fax_number": "516-622-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOTTO",
        "first_name": "NICHOLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.