NPIMap

Organization Active NPI

Susan L. Michlovitz,PT,P.C.

  • Physical Therapist
  • Ithaca, NY
National Provider Identifier
1033400262
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027338-1 Issued in NY
Legal business name
SUSAN L. MICHLOVITZ,PT,P.C.
Practice address
903 Hanshaw Rd Ste 5
Ithaca, NY 14850-1530
Phone
(607) 229-2165
Fax
(607) 793-9497
NPI assigned
Apr 21, 2011
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan L Michlovitz, PT, P.C.NPI 1689645335
Title
Owner
Phone
(607) 229-2165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 027338-1 NY Primary

Addresses

Primary practice location

903 Hanshaw Rd Ste 5
Ithaca, NY 14850-1530

Mailing address

903 Hanshaw Rd Ste 5
Ithaca, NY 14850-1530
Phone (607) 229-2165

National Provider Directory

National Provider Directory

Locations

903 Hanshaw Rd
Ste 5
Ithaca, NY 14850
Phone (607) 229-2165

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1033400262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 HANSHAW RD STE 5",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501530",
            "telephone_number": "607-229-2165",
            "fax_number": "607-793-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HANSHAW RD STE 5",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501530",
            "telephone_number": "607-229-2165",
            "fax_number": "607-793-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. MICHLOVITZ,PT,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "MICHLOVITZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-229-2165",
        "authorized_official_credential": "PT, P.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027338-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.