NICHOLAS ANTHONY CANNATELLA (PT, DPT) – Physical Therapist, NPI 1477235885

NICHOLAS ANTHONY CANNATELLA (PT, DPT) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for NICHOLAS ANTHONY CANNATELLA (PT, DPT) is 1477235885

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS ANTHONY CANNATELLA (PT, DPT)
NPI
1477235885
Phone
(239) 277-7070
Address
3033 WINKLER AVE UNIT 100
Enumeration Date
4 August 2023
Last Update Date
10 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392777070
Graduation Year
2023 (3 years ago)
PAC ID
2961865944
Group Practice PAC ID
2668793332
Professional Enrollment ID
I20240119001264
Address ID
FL339169523FO3033XAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for NICHOLAS ANTHONY CANNATELLA (PT, DPT)

  • 3033 WINKLER AVE UNIT 100

    FORT MYERS, FL 339169523

    Phone: (239) 277-7070

    Fax: (239) 277-7071

    Mailing address matches the actual address.

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: 2024-01-19

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
I20240119001264IPhysical Therapist In Private PracticeFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes83276$0
97140Therapy procedure using manual technique, each 15 minutes14442$0
97150Therapy procedure in a group setting5420$0
97162Evaluation for physical therapy, typically 30 minutes2828$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2316$0
View full utilization report →

Insurance plans in this area (ZIP 33916)

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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: 2668793332View full group profile
NameSpecialtyState
-FL
Physical Medicine And RehabilitationFL
Physician AssistantFL
Physician AssistantFL
-FL
Physician AssistantFL
Orthopedic Surgery, Sports MedicineFL
Orthopedic SurgeryFL
Orthopedic SurgeryPA
Physician AssistantFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICHOLAS ANTHONY CANNATELLA (PT, DPT)?
NICHOLAS ANTHONY CANNATELLA (PT, DPT) — NPI 1477235885 — is the standard way to identify this listing.
Does the file indicate NICHOLAS ANTHONY CANNATELLA (PT, DPT) is practicing under active NPI?
Directory data currently reports NICHOLAS ANTHONY CANNATELLA (PT, DPT) as active.
What is NICHOLAS ANTHONY CANNATELLA (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for NICHOLAS ANTHONY CANNATELLA (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for NICHOLAS ANTHONY CANNATELLA (PT, DPT)?
NICHOLAS ANTHONY CANNATELLA (PT, DPT)'s geographic hint is Fort Myers, Florida in our summary view.
Why does NICHOLAS ANTHONY CANNATELLA (PT, DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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