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

Nicholas Soares

Individual provider Physical Therapist · NPI 1386524312

Nicholas Soares is a Physical Therapist in Private Practice in Livingston, New Jersey. Qualified in 2025, 1 year ago. Practices with Ivyrehab Network Inc, a 653-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

555 S Livingston Ave
Livingston, NJ 07039-5410
Phone: (973) 974-9292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1386524312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address555 S Livingston Ave, Livingston, NJ 07039-5410

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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