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

Nicole Llewellyn

Individual provider Physical Therapist · NPI 1306362033

Nicole Llewellyn is a Physical Therapist in Private Practice in Northport, New York. Qualified in 2017, 9 years ago. Practices with Visiting Nurse Service and Hospice of Suffolk Inc, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

505 Main St
Northport, NY 11768-1954
Phone: (631) 261-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1306362033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address505 Main St, Northport, NY 11768-1954

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Visiting Nurse Service And Hospice Of Suffolk Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Northport