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

Nicole Marie Divirgilio, PT

Individual provider Physical Therapist · NPI 1063133023

Nicole Marie Divirgilio, PT is a Physical Therapist in Patchogue, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
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

77 Route 112 Ste F
Patchogue, NY 11772-1230
Phone: (631) 207-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04925101 (NY)

Record details

NPI number1063133023
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

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