DR. RAY VICENTE SAN NICOLAS PT, DPT
NPI 1083438204
Physical Therapist in Honolulu, HI

Active since November 13, 2024Accepts Medicare Assignment
3221 WAIALAE AVE STE 300, HONOLULU, HI 96816(808) 737-4244 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ray Vicente San Nicolas Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAY VICENTE SAN NICOLAS PT, DPT (NPI 1083438204) is an individual physical therapist in Honolulu, Hawaii and active in the NPI registry since November 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1083438204
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. RAY VICENTE SAN NICOLASCredential: PT, DPT
Location Address3221 WAIALAE AVE STE 300Honolulu, HI 96816-5845
Mailing Address3138 Waialae Ave Apt 313Honolulu, HI 96816-1540 · (808) 225-9767
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1083438204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3221 WAIALAE AVE STE 300, Honolulu, HI 96816

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ray Vicente San Nicolas Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739618836
PECOS Enrollment IDI20250117001627

Medicare Billing Reassignments

2

Medicare enrollment records show Ray Vicente San Nicolas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
98-1247 KAAHUMANU ST, 118B
Aiea, HI 96701
  • Reassigned Medicare billing, Hawaii enrollment
  • 6 clinicians in this Medicare group
Physical Medicine & Rehabilitation
4B MEDICAL PARK DR
Pomona, NY 10970
  • Reassigned Medicare billing, Hawaii enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3221 WAIALAE AVE STE 300
HONOLULU, HI 96816
Physical Therapist
3221 WAIALAE AVE STE 300
HONOLULU, HI 96816
Physical Therapist
3221 WAIALAE AVE STE 300
HONOLULU, HI 96816
Physical Therapist
3221 WAIALAE AVE STE 300
HONOLULU, HI 96816
Physical Therapist
3221 WAIALAE AVE STE 300
HONOLULU, HI 96816

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ray Vicente San Nicolas's NPI number?

The NPI number for Ray Vicente San Nicolas is 1083438204. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Ray Vicente San Nicolas located?

Ray Vicente San Nicolas practices at 3221 Waialae Ave Ste 300, Honolulu, HI 96816. The listed phone number is (808) 737-4244.

What is Ray Vicente San Nicolas's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ray Vicente San Nicolas enrolled in Medicare?

Yes. Ray Vicente San Nicolas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ray Vicente San Nicolas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ray Vicente San Nicolas reassigns Medicare benefits to 2 organizations: Rehab Therapy Partners, Inc. (Aiea, HI) and Stern At Home Physical Therapy PC (Pomona, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ray Vicente San Nicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ray Vicente San Nicolas accept?

Health plans from HMSA list Ray Vicente San Nicolas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ray Vicente San Nicolas was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.