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

Nicole Vitale, DPT

Individual provider Physical Therapist · NPI 1780187963

Nicole Vitale, DPT is a Physical Therapist in Private Practice in Centereach, New York. Qualified in 2016, 10 years ago. Practices with Spagnoli Physical Therapy PC, an 11-clinician group. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

141 Mark Tree Rd
Centereach, NY 11720-2221
Phone: (631) 467-4235
Fax: (631) 467-2655
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040928-1 (NY)

Record details

NPI number1780187963
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESApril 18, 2019
Mailing address7 5th Ave, Smithtown, NY 11787-4535

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Spagnoli Physical Therapy Pc — 11 clinicians
Accepts Medicare assignment Not indicated

Other providers in Centereach