Nicole Listas, PT
NPI 1356310460ActiveIndividual· Physical Therapist· Hartsdale, NY
Physical Therapist (PT) with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, practicing in Hartsdale, New York. Medicare paid $53,242 for services to 90 patients in 2024.
Overview
| NPI | 1356310460 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Sep 1, 2020 |
| Certified by provider | Sep 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | NY027416 | 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 | 90 |
|---|---|
| Services billed | 2,003 across 9 procedure codes |
| Paid by Medicare | $53,242 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAJoliet, IL · 376 clinicians
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All 37 physical therapists in Hartsdale · All physical therapists in New York