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

Nicholas Pucillo, DPT

Individual provider Physical Therapist · NPI 1043696404

Nicholas Pucillo, DPT is a Physical Therapist in Private Practice in Louisville, Kentucky. Qualified in 2015, 11 years ago. Practices with Agilitas USA, Inc, a 810-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2015
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

4611 Outer Loop
Louisville, KY 40219-3970
Phone: (502) 625-6233
Fax: (502) 625-6234
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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 006671 (KY)

Record details

NPI number1043696404
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2015
Last updated in NPPESSeptember 20, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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