Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Soares, PT

Individual provider Physical Therapist · NPI 1639901275

Anthony Soares, PT is a Physical Therapist in Private Practice in Clifton Park, New York. Qualified in 2024, 2 years ago. Practices with Nicolla and Associates PT and OT Services PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

989 Route 146
Clifton Park, NY 12065-3646
Phone: (518) 371-5221
Fax: (518) 371-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 052767 (NY)

Record details

NPI number1639901275
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Nicolla And Associates Pt And Ot Services Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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