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

Nicole Listas, PT

Individual provider Physical Therapist · NPI 1356310460

Nicole Listas, PT is a Physical Therapist in Private Practice in Hartsdale, New York. Qualified in 2005, 21 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

157 S Central Ave
Hartsdale, NY 10530-2314
Phone: (914) 428-9698
Fax: (914) 428-6013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1221 Avenue Of The Americas, New York, NY 10020-1001 — (646) 562-0617

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence NY027416 (NY)

Record details

NPI number1356310460
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hartsdale