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

Nicholas Pellegrino

Individual provider Physical Therapist · NPI 1962366591

Nicholas Pellegrino is a Physical Therapist in Private Practice in New Hyde Park, New York. Graduated from New York Medical College in 2024, 2 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
New York Medical College
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

1730 Lakeville Rd
New Hyde Park, NY 11040-2506
Phone: (516) 326-4580
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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 054945-01 (NY)

Record details

NPI number1962366591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2024 (2 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park