Nicky Triantafyllos, PT, DPT
NPI 1073979688ActiveIndividual· Physical Therapist· Great Neck, NY
Physical Therapist (PT, DPT) with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, practicing in Great Neck, New York. Medicare paid $11,081 for services to 14 patients in 2024.
Overview
| NPI | 1073979688 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2016 |
| Last updated in NPPES | Feb 20, 2024 |
| Certified by provider | Feb 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 039741 | NY |
| Physical Therapist | 225100000X | 296149 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 463 across 9 procedure codes |
| Paid by Medicare | $11,081 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sports Physical Therapy Occupational Therapy and Rehabilitation ServicRego Park, NY · 527 clinicians
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All 369 physical therapists in Great Neck · All physical therapists in New York