Nicholas Sangiacomo, DPT
NPI 1134904881ActiveIndividual· Physical Therapist, Orthopedic· Fort Wayne, IN
Physical Therapist, Orthopedic (DPT) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in August 2023. Medicare paid $39,474 for services to 135 patients in 2024.
Overview
| NPI | 1134904881 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 30, 2023 |
| Last updated in NPPES | Sep 11, 2023 |
| Certified by provider | Sep 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 05015259A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 135 |
|---|---|
| Services billed | 2,195 across 9 procedure codes |
| Paid by Medicare | $39,474 |
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