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

Nicky Triantafyllos, PT, DPT

Individual provider Physical Therapist · NPI 1073979688

Nicky Triantafyllos, PT, DPT is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2015, 11 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
11
Licensed in
CA, NY
In the registry since
2016
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

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 121 Gray Ave Ste 100, Santa Barbara, CA 93101 — (805) 681-9108
  • 80 Broad St Ste 1401, New York, NY 10004-2249 — (212) 943-4999
  • 80 Broad St Ste 1401, New York, NY 10004-2249 — (212) 943-4999

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 039741 (NY)
Physical Therapist Taxonomy 225100000X · Licence 296149 (CA)

Record details

NPI number1073979688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJanuary 12, 2016
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address475 Northern Blvd Ste 37, Great Neck, NY 11021-4802

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 Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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