NICHOLAS PELLEGRINO
NPI 1962366591
Physical Therapist in New Hyde Park, NY

Active since December 09, 2025Accepts Medicare Assignment
1730 LAKEVILLE RD, NEW HYDE PARK, NY 11040(516) 326-4580 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Pellegrino NPPES

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

NICHOLAS PELLEGRINO (NPI 1962366591) is an individual physical therapist in New Hyde Park, New York, licensed in New York (054945-01) and active in the NPI registry since December 2025. He is a graduate of New York Medical College (2024).

NPPES Registry Identity

NPI1962366591
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNICHOLAS PELLEGRINO
Location Address1730 LAKEVILLE RDNew Hyde Park, NY 11040-2506
Mailing Address57 5th AveGarden City Park, NY 11040-5003 · (516) 852-1464
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2024
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1962366591 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 · 054945-01
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.
1730 LAKEVILLE RD, New Hyde Park, NY 11040

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

Nicholas Pellegrino 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 ID6800374661
PECOS Enrollment IDI20260202003292

Medicare Billing Reassignment

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

Physical Therapist
550 MAMARONECK AVE, SUITE 104
Harrison, NY 10528
  • Reassigned Medicare billing, New York enrollment
  • 335 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 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

Specialist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapy Assistant
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Specialist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040
Physical Therapist
1730 LAKEVILLE RD
NEW HYDE PARK, NY 11040

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 Pellegrino's NPI number?

The NPI number for Nicholas Pellegrino is 1962366591. It was assigned to this individual provider in the NPPES registry on December 9, 2025.

Where is Nicholas Pellegrino located?

Nicholas Pellegrino practices at 1730 Lakeville Rd, New Hyde Park, NY 11040. The listed phone number is (516) 326-4580.

What is Nicholas Pellegrino's specialty?

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

Is Nicholas Pellegrino enrolled in Medicare?

Yes. Nicholas Pellegrino 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 Nicholas Pellegrino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Pellegrino reassigns Medicare benefits to Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Harrison, 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 Pellegrino'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 Pellegrino was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.