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

Nicholas Tucker Bradshaw, PT, DPT

Individual provider Physical Therapist · NPI 1750950754

Nicholas Tucker Bradshaw, PT, DPT is a Physical Therapist in Private Practice in Syosset, New York. Qualified in 2021, 5 years ago. Practices with Lifetime Physical Therapy and Chiropractic Rehabilitation PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Hampshire and New York.

Years since qualifying
5
Licensed in
NH, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

350 Robbins Ln
Syosset, NY 11791-6009
Phone: (516) 513-1510
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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 047355 (NY)
Physical Therapist Taxonomy 225100000X · Licence 4813 (NH)

Record details

NPI number1750950754
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 23, 2021
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lifetime Physical Therapy And Chiropractic Rehabilitation Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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