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Nicole Brock

NPI 1376974774ActiveIndividual· Physical Therapist· Massapequa Park, NY

Physical Therapist in Massapequa Park, New York, licensed in NY, with an NPI issued in December 2013. Medicare paid $56,650 for services to 51 patients in 2024.

Overview

NPI1376974774
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 10, 2013
Last updated in NPPESDec 10, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X037114-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients51
Services billed2,283 across 9 procedure codes
Paid by Medicare$56,650

Medicare sources and data years

Other physical therapists in Massapequa Park

All 18 physical therapists in Massapequa Park · All physical therapists in New York