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NICHOLAS PETROSKI DPT
NPI 1871011882
Physical Therapist - Orthopedic in Philadelphia, PA

Active since August 30, 2017
12331 ACADEMY RD, PHILADELPHIA, PA 19154(215) 576-4796(215) 392-5175 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2025, Sep 27, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About Nicholas Petroski Dpt NPPES

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

NICHOLAS PETROSKI DPT (NPI 1871011882) is an individual orthopedic provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PT026382) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1871011882
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameNICHOLAS PETROSKICredential: DPT
Location Address12331 ACADEMY RDPhiladelphia, PA 19154-1927
Mailing Address12331 Academy RdPhiladelphia, PA 19154-1927 · (215) 576-4796 · Fax (215) 392-5175
Phone(215) 576-4796
Fax(215) 392-5175
Sole ProprietorNo
Enumeration DateAugust 30, 2017
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1871011882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in PA · PT026382
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License PT026382 (PA)
12331 ACADEMY RD, Philadelphia, PA 19154
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignments

2

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

Petroski Physiotherapy And Performance LLC
Same address
Sports
12331 ACADEMY RD
Philadelphia, PA 19154
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1598240384 (215) 576-4796
Ivyrehab Network Inc.
67 mi
Physical Therapist
79 HUDSON ST
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 846 clinicians in this Medicare group
NPI 1174577274 (201) 792-1170

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
314 services15 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
270 services15 patients

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.

ALEXANDRA MACARTHUR
Physical Therapist
12331 ACADEMY RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 576-4796
TAYLOR BRACY
Physical Medicine & Rehabilitation (Sports Medicine)
12331 ACADEMY RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 576-4796
CHRISTOPHER MARTIN KALLIGHAN DPT
Physical Therapist
12331 ACADEMY RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 576-4796
PATRICK CHARLES MEENAN DPT
Physical Therapist
12331 ACADEMY RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 576-4796
PETROSKI PHYSIOTHERAPY AND PERFORMANCE LLC
Physical Therapist (Sports)
12331 ACADEMY RD
PHILADELPHIA, PA 19154
Philadelphia County (215) 576-4796

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 Petroski's NPI number?

The NPI number for Nicholas Petroski is 1871011882. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Nicholas Petroski located?

Nicholas Petroski practices at 12331 Academy Rd, Philadelphia, PA 19154. The listed phone number is (215) 576-4796.

What is Nicholas Petroski's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Nicholas Petroski enrolled in Medicare?

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

Which organizations bill Medicare for Nicholas Petroski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Petroski reassigns Medicare benefits to 2 organizations: Petroski Physiotherapy And Performance LLC (Philadelphia, PA) and Ivyrehab Network Inc. (Hoboken, NJ). 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 Nicholas Petroski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Petroski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicholas Petroski 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 Nicholas Petroski was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.