Diane M. Nicholson
NPI 1760757983ActiveIndividual· Physical Therapist· Manorville, NY
Physical Therapist in Manorville, New York, trained at University of Texas Medical Branch at Galveston (class of 1987). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1760757983 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 21, 2012 |
| Last updated in NPPES | Mar 21, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 010354-1 | 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) |
|---|
Education and affiliations
| Medical school | University of Texas Medical Branch at Galveston |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Spagnoli Physical Therapy PCCentereach, NY · 11 clinicians
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All 36 physical therapists in Manorville · All physical therapists in New York