NICHOLAS FONTANELLA – Physical Therapist, NPI 1558192294

NICHOLAS FONTANELLA is a healthcare provider. based in Buzzards bay, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 27757 (MA). The NPI Number for NICHOLAS FONTANELLA is 1558192294

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS FONTANELLA
NPI
1558192294
Phone
Not provided
Address
85 MAIN ST
Enumeration Date
13 August 2024
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812141717
Graduation Year
2024 (2 years ago)
PAC ID
4385183243
Group Practice PAC ID
1658266515
Professional Enrollment ID
I20240823001840
Address ID
MA021846563BR501XXHWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for NICHOLAS FONTANELLA

  • 85 MAIN ST

    BUZZARDS BAY, MA 025323224

    Phone:

    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: 2024-08-23

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
I20240823001840IPhysical Therapist In Private PracticeMATBD

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 02532)

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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: 1658266515View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNH
-RI
Physical Therapist In Private PracticeMA
-RI
-RI
Physical Therapist In Private PracticeRI
-RI
Physical Therapist In Private PracticeRI
-RI

Reviews

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Frequently asked questions

What is NICHOLAS FONTANELLA's NPI number?
NICHOLAS FONTANELLA's NPI is 1558192294 — the number used across U.S. healthcare to identify this provider.
Would NICHOLAS FONTANELLA appear as active to a payer?
You can treat NICHOLAS FONTANELLA as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with NICHOLAS FONTANELLA?
NICHOLAS FONTANELLA's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is NICHOLAS FONTANELLA located near Buzzards Bay?
NICHOLAS FONTANELLA currently maps to Buzzards Bay, Massachusetts in this extract.
Can I trust this NPI listing for NICHOLAS FONTANELLA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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