Nicole Vulovich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

054627 Issued in NY

Practice address

2955 Veterans Rd W Lowr Level
Staten Island, NY 10309-2515

Phone

(718) 477-1911

NPI assigned

Aug 15, 2025

Sex

Female

Sole proprietor

No

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

City University of New York School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holtzer Physical Therapy PLLCGroup PAC ID 1254820319, 3 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 and National Provider Directory roles.

• Holtzer Physical Therapy PLLC

  • Physical Therapist
  • Staten Island, NY
  • NPI 1255043451
  Medicare reassignment Care Compare group NPD
• Summit Physical Therapy

  • Physical Therapist
  • Summit, NJ
  • NPI 1629198734
  NPD (past)

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1831075662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ARIELLE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147508",
            "telephone_number": "917-370-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VETERANS RD W LOWR LEVEL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092515",
            "telephone_number": "718-477-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Morris Tpke Ste 2W",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079015007",
            "country_code": "US",
            "telephone_number": "908-598-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VULOVICH",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Marie Vroom
• Vserve Inc
• Pauline Vu, D.D.S.
• Ines Vucetic
• Majella Vucina
• Corneliu Theodur Vulpe, M.D.
• Alexa Vulpis, L.AC
• Anh T Vuong, OT
• Stephanie Vuono, OT
• Doreen Vuotto, RN

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Aug 15, 2025; 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.