DR. NICOLE ANTISTA (PT, DPT) – Physical Therapist, NPI 1285217588

DR. NICOLE ANTISTA (PT, DPT) is a healthcare provider. based in Hillsdale, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA01960000 (NJ). The NPI Number for DR. NICOLE ANTISTA (PT, DPT) is 1285217588

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE ANTISTA (PT, DPT)
NPI
1285217588
Phone
(201) 263-0001
Address
100 Park Ave Ste 4
Enumeration Date
4 May 2021
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2012614343
Graduation Year
2020 (6 years ago)
PAC ID
3678982279
Group Practice PAC ID
9436324886
Professional Enrollment ID
I20210512000669
Address ID
NJ076522800PA140XXRTEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for DR. NICOLE ANTISTA (PT, DPT)

  • 100 Park Ave Ste 4

    Hillsdale, NJ 076422057

    Phone: (201) 263-0001

    Type: Location

  • 470 N FRANKLIN TPKE STE 200

    RAMSEY, NJ 074461385

    Phone: (201) 995-6960

    Type: Mailing

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: 2021-05-12

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
I20210512000669IPhysical Therapist In Private PracticeNJTBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,39479$0
97140Therapy procedure using manual technique, each 15 minutes90773$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes71778$0
97530Therapy procedure using functional activities9616$0
97161Evaluation for physical therapy, typically 20 minutes4135$0
View full utilization report →

Insurance plans in this area (ZIP 07642)

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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: 9436324886View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

Does DR. NICOLE ANTISTA (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. NICOLE ANTISTA (PT, DPT) uses 1285217588.
Can I rely on DR. NICOLE ANTISTA (PT, DPT) being an active provider?
As of the registry snapshot, DR. NICOLE ANTISTA (PT, DPT) is marked active.
What is DR. NICOLE ANTISTA (PT, DPT) best known for clinically?
Directory data describes DR. NICOLE ANTISTA (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DR. NICOLE ANTISTA (PT, DPT) based?
DR. NICOLE ANTISTA (PT, DPT) is tied to Hillsdale, New Jersey in the data we show; additional addresses may exist on the full record.
Is the information about DR. NICOLE ANTISTA (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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