Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS DESPOSITO
NPI 1821663568
Physical Therapist in Ronkonkoma, NY

Active since May 25, 2021
121 CALVERT AVE, RONKONKOMA, NY 11779(631) 338-4769 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2026, May 25, 2021 (2 updates tracked since 2021).

About Nicholas Desposito NPPES

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

NICHOLAS DESPOSITO (NPI 1821663568) is an individual physical therapist in Ronkonkoma, New York, licensed in New York (056345) and active in the NPI registry since May 2021. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1821663568
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNICHOLAS DESPOSITO
Location Address121 CALVERT AVERonkonkoma, NY 11779-5970
Mailing Address121 Calvert AveRonkonkoma, NY 11779-5970 · (631) 676-5753
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 25, 2021
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1821663568 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
License✔ Licensed in NY · 056345
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.
121 CALVERT AVE, Ronkonkoma, NY 11779

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Desposito is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577023803
PECOS Enrollment IDI20260904003232

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Desposito reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
800 VETERANS MEMORIAL HWY
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • 518 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.

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 Nicholas Desposito's NPI number?

The NPI number for Nicholas Desposito is 1821663568. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Nicholas Desposito located?

Nicholas Desposito practices at 121 Calvert Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 338-4769.

What is Nicholas Desposito's specialty?

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

Is Nicholas Desposito enrolled in Medicare?

Yes. Nicholas Desposito is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Desposito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Desposito reassigns Medicare benefits to Professional Occupational & Physical Therapy, PLLC (Hauppauge, NY). The 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 Nicholas Desposito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Desposito was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.