NICOLAS CIVALE – Physical Therapist, NPI 1356808463

NICOLAS CIVALE is a healthcare provider. based in East windsor, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 011659 (CT). The NPI Number for NICOLAS CIVALE is 1356808463

Main info

Male
9 Years Of Experience
Name
NICOLAS CIVALE
NPI
1356808463
Phone
(860) 372-8013
Address
129 GREENWOODS LN
Enumeration Date
25 February 2019
Last Update Date
25 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4752099420
Graduation Year
2017 (9 years ago)
PAC ID
0648645804
Group Practice PAC ID
5092084244
Professional Enrollment ID
I20230331002228
Address ID
CT068203606DA349XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for NICOLAS CIVALE

  • 129 GREENWOODS LN

    EAST WINDSOR, CT 060889692

    Phone: (860) 372-8013

    Type: Mailing

  • 5001, Statesman Drive, Irving, Dallas County, Texas, 75063, United States

    IRVING, TX 750632414

    Phone: (469) 524-1506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230331002228IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092084244View full group profile
NameSpecialtyState
-NC
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeCT
-NY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

Is there an official ID for NICOLAS CIVALE in U.S. healthcare records?
The official identifier for NICOLAS CIVALE is NPI 1356808463.
Is NICOLAS CIVALE still an active registrant?
NICOLAS CIVALE carries an active NPI according to the public dataset.
What kind of doctor is NICOLAS CIVALE?
NICOLAS CIVALE is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NICOLAS CIVALE?
Travel planning: use East Windsor, Connecticut as the reference point for NICOLAS CIVALE, then confirm.
When was this NPI issued?
Enumeration for NICOLAS CIVALE is noted as February 25, 2019 where the registry provides it.

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