Roxane Nicholson, PT
NPI 1942878269ActiveIndividual· Physical Therapist· Newark, NY
Physical Therapist (PT) with Nysarc Inc., practicing in Newark, New York. Medicare paid $38,970 for services to 36 patients in 2024.
Overview
| NPI | 1942878269 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Jun 14, 2021 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 016024-01 | NY |
| Clinic/Center, Physical Therapy | 261QP2000X | 016024-01 | 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 | 36 |
|---|---|
| Services billed | 2,063 across 11 procedure codes |
| Paid by Medicare | $38,970 |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Nysarc Inc.Newark, NY · 15 clinicians
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