IndividualActive
Pratyusha Nistala, PT
NPI 1902307184 · Pediatric Rehabilitation Medicine Physician · New York, NY
Provider details
- NPI number
- 1902307184
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 040300-1 (NY)
Practice location
227 W 29th St Rm 3r
New York, NY 10001-5574
Phone: (212) 736-8900
Fax: (212) 736-8158
Mailing address
227 W 29th St Rm 3r
New York, NY 10001-5574
Registry dates
- Enumerated
- 2018-02-23
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.