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

Nicole Ganas

Individual provider Rehabilitation Practitioner · NPI 1083420467

Nicole Ganas is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 2019, 7 years ago. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2024

Practice location Address checks out

14037 Cherry Ave Ste 1A
Flushing, NY 11355-7805
Phone: (718) 661-4201
Fax: (718) 661-0066
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence 050023 (NY)

Record details

NPI number1083420467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2024
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address14037 Cherry Ave Ste 1a, Flushing, NY 11355-7805

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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