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

Kyle Dinicola, ORT/L, PTA

Individual provider Physical Therapy Assistant · NPI 1477109221

Kyle Dinicola, ORT/L, PTA is an Occupational Therapist in Private Practice in New York, New York. Qualified in 2023, 3 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

31 E 32nd St Fl 4
New York, NY 10016-5595
Phone: (212) 759-2282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1477109221
Entity typeIndividual (Type 1)
GenderMale
Credentials ORT/L , PTA
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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