ROXANE NICHOLSON PT
NPI 1942878269
Physical Therapist in Newark, NY

Active since June 14, 2021Accepts Medicare Assignment
150 VANBUREN STREET, NEWARK, NY 14513(315) 331-7741 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roxane Nicholson Pt NPPES

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

ROXANE NICHOLSON PT (NPI 1942878269) is an individual physical therapist in Newark, New York, licensed in New York (016024-01) and active in the NPI registry since June 2021. She is a graduate of Other (1993).

NPPES Registry Identity

NPI1942878269
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameROXANE NICHOLSONCredential: PT
Location Address150 VANBUREN STREETNewark, NY 14513
Mailing Address508 Vienna St Lot 13Newark, NY 14513-9160 · (585) 966-9166
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 14, 2021
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1942878269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NY · 016024-01
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.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 016024-01 (NY)
150 VANBUREN STREET, Newark, NY 14513

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

Roxane Nicholson Pt 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 ID2062800626
PECOS Enrollment IDI20211101001651

Medicare Billing Reassignment

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

Same address
Developmental Disabilities
150 VAN BUREN ST
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 22 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.

Areas of Expertise CMS Part B claims 4

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 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.
1,176 services32 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
347 services32 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
313 services25 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
72 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14513 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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 Roxane Nicholson's NPI number?

The NPI number for Roxane Nicholson is 1942878269. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Roxane Nicholson located?

Roxane Nicholson practices at 150 Vanburen Street, Newark, NY 14513. The listed phone number is (315) 331-7741.

What is Roxane Nicholson's specialty?

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

Is Roxane Nicholson enrolled in Medicare?

Yes. Roxane Nicholson 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 organization bills Medicare for Roxane Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roxane Nicholson reassigns Medicare benefits to Nysarc Inc. (Newark, 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 Roxane Nicholson'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 Roxane Nicholson was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.