Nicole Marie Divirgilio, PT - Physical Therapist in Patchogue, NY

Nicole Marie Divirgilio, PT is a Physical Therapist based in Patchogue, New York. Nicole Marie Divirgilio is licensed to practice in New York (license number 04925101) and her current practice location is 77 Route 112 Ste F, Patchogue, New York. She can be reached at her office (for appointments etc.) via phone at (631) 207-2370.

NPI number for Nicole Marie Divirgilio is 1063133023 and her current mailing address is 1301 Spruce Dr, Holbrook, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063133023.

Contact Information

Nicole Marie Divirgilio, PT
77 Route 112 Ste F,
Patchogue, NY 11772-1230
(631) 207-2370
Not Available



Healthcare Provider's Profile

Full NameNicole Marie Divirgilio
GenderFemale
SpecialityPhysical Therapist
Location77 Route 112 Ste F, Patchogue, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063133023
  • Provider Enumeration Date: 09/08/2022
  • Last Update Date: 09/08/2022

Medical Identifiers

Medical identifiers for Nicole Marie Divirgilio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063133023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 04925101 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Divirgilio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Marie Divirgilio, PT
1301 Spruce Dr,
Holbrook, NY 11741-4464

Ph: (610) 202-7804
Nicole Marie Divirgilio, PT
77 Route 112 Ste F,
Patchogue, NY 11772-1230

Ph: (631) 207-2370

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Physical Therapist in Patchogue, NY

Ronald Amaya Lopez, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 322 W Main St, Patchogue, NY 11772
Phone: 631-228-4977    
Sungguk Bae,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 21 Cleveland St, Patchogue, NY 11772
Phone: 631-569-9373    
John Lowe Wilson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 25 Theresa Ct, Patchogue, NY 11772
Phone: 631-730-3326    
Danielle M Bousquet,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 77 Medford Ave, Patchogue, NY 11772
Phone: 631-758-1910    
Stephanie Lauren Vanschaick, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 77 Medford Ave, Patchogue, NY 11772
Phone: 631-758-1910    Fax: 631-758-1984
Kathleen Alyssa Bailey, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 322 W Main St, Patchogue, NY 11772
Phone: 631-228-4977    

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