NICHOLAS THOMAS DISOMMA – Physical Therapist, NPI 1386157121

NICHOLAS THOMAS DISOMMA is a healthcare provider. based in Sparta, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 40QA01764400 (NJ). The NPI Number for NICHOLAS THOMAS DISOMMA is 1386157121

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS THOMAS DISOMMA
NPI
1386157121
Phone
Not provided
Address
194 EDISON RD
Enumeration Date
15 November 2017
Last Update Date
15 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9737067620
Graduation Year
2017 (9 years ago)
PAC ID
0547528465
Group Practice PAC ID
5092850735
Professional Enrollment ID
I20171227000224
Address ID
NJ074708480WA450XXTPKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

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Provider Addresses for NICHOLAS THOMAS DISOMMA

  • 194 EDISON RD

    SPARTA, NJ 078713848

    Phone:

    Type: Mailing

  • 69, Newark-Pompton Turnpike, Riverdale, Morris County, New Jersey, 07457, United States

    RIVERDALE, NJ 074571426

    Phone: (973) 248-8111

    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: 2017-12-27

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
I20171227000224IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4,28275$0
97140Therapy procedure using manual technique, each 15 minutes3,66971$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care87040$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40513$0
97535Training for self-care or home management, each 15 minutes31960$0
View full utilization report →

Insurance plans in this area (ZIP 07871)

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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: 5092850735View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
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
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What is NICHOLAS THOMAS DISOMMA's NPI number?
NICHOLAS THOMAS DISOMMA's NPI is 1386157121 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to NICHOLAS THOMAS DISOMMA?
You should see NICHOLAS THOMAS DISOMMA as active in CMS-hosted NPPES data.
How would a patient describe NICHOLAS THOMAS DISOMMA's focus?
For NICHOLAS THOMAS DISOMMA, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is NICHOLAS THOMAS DISOMMA located near Sparta?
NICHOLAS THOMAS DISOMMA currently maps to Sparta, New Jersey in this extract.
When was this NPI issued?
Enumeration for NICHOLAS THOMAS DISOMMA is noted as November 15, 2017 where the registry provides it.

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