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

Diane M Nicholson

Individual provider Physical Therapist · NPI 1760757983

Diane M Nicholson is a Physical Therapist in Private Practice in Manorville, New York. Graduated from University of Texas Medical Branch at Galveston in 1987, 39 years ago. Practices with Spagnoli Physical Therapy PC, an 11-clinician group. Licensed in New York.

Years since qualifying
39
Trained at
University of Texas Medical Branch at Galveston
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

5 Tee View Ct
Manorville, NY 11949-2939
Phone: (631) 874-3032
Fax: (631) 874-4105
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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 010354-1 (NY)

Record details

NPI number1760757983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2012
Last updated in NPPESMarch 21, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1987 (39 years in practice)
Group practice Spagnoli Physical Therapy Pc — 11 clinicians
Accepts Medicare assignment Not indicated

Other providers in Manorville