Nicholas James Antonio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044497 Issued in NY

Practice address

95 Canal Landing Blvd Ste 2-3
Rochester, NY 14626-5111

Phone

(585) 617-0581

Fax

(585) 617-0438

NPI assigned

Oct 30, 2019

Reactivated

Dec 17, 2019

Sex

Male

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Physical Therapy Services, PCGroup PAC ID 1153302823, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Agape Physical Therapy Services, PC

  • Physical Therapist
  • Brockport, NY
  • NPI 1841200649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1962046367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 TRUE HICKORY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151321",
            "telephone_number": "585-690-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CANAL LANDING BLVD STE 2-3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265111",
            "telephone_number": "585-617-0581",
            "fax_number": "585-617-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 Chili Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146245438",
            "country_code": "US",
            "telephone_number": "585-889-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "deactivation_date": "2019-10-30",
        "reactivation_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lynn Antinoro, MA CCC-SLP
• Drew Tyler Antolik, PT
• Sarah Johanna Antolik, PA-C
• Sindy Anton
• Antonio Calascibetta, DDS, PLLC
• Benjamin Q Antonucci, P.T.
• Nicholas Ensinger Antos, MD
• Suzanne Anulis-Bardo, LMT
• Christiana Rose Anvelt, NP
• Lisa Anweiler, ANP

• Physical Therapist in Rochester, NY
• Providers in Rochester, 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 Dec 17, 2019; 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.