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

Nicholas Vincent Pisano, PTA/RD

Individual provider Physical Therapy Assistant · NPI 1154840411

Nicholas Vincent Pisano, PTA/RD is a Physical Therapy Assistant in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017

Practice location Address checks out

5301 Creedmoor Rd
Raleigh, NC 27612-3822
Phone: (919) 615-1658
Fax: (866) 314-8247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A6141 (NC)

Record details

NPI number1154840411
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA/RD
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESSeptember 18, 2017

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