David Nieves, PT
NPI 1316170061ActiveIndividual· Physical Therapist· Port Jefferson, NY
Physical Therapist (PT) with Evolving Gait Physical Therapy PC, practicing in Port Jefferson, New York. Medicare paid $105,403 for services to 51 patients in 2024.
Overview
| NPI | 1316170061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Aug 28, 2009 |
| Last updated in NPPES | Aug 28, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 015511-1 | NY |
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 | 51 |
|---|---|
| Services billed | 4,501 across 5 procedure codes |
| Paid by Medicare | $105,403 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Evolving Gait Physical Therapy PCMedford, NY · 2 clinicians
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All 42 physical therapists in Port Jefferson · All physical therapists in New York