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

Natalie Bista, DPT

Individual provider Physical Therapist · NPI 1689380560

Natalie Bista, DPT is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Illinois and New York.

Years since qualifying
4
Licensed in
IL, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
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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 049983 (NY)
Physical Therapist Taxonomy 225100000X · Licence 070.026752 (IL)

Record details

NPI number1689380560
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 25, 2023
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025
Mailing address475 Northern Blvd Ste 27, Great Neck, NY 11021-4802

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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