Individual provider Active NPI

Michael Fina

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1033652128
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040964 Issued in NY
Practice address
1243 Woodrow Rd
Unit 323
Staten Island, NY 10309-1725
Phone
(718) 966-0111
Fax
(718) 390-0067
NPI assigned
Nov 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040964 NY Primary

Addresses

Primary practice location

1243 Woodrow Rd
Unit 323
Staten Island, NY 10309-1725

Mailing address

1351 Forest Ave
Staten Island, NY 10302-2049
Phone (718) 844-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170123001677 NY Practitioner - Physical Therapist in Private Practice 3173805413 Reassigns benefits to 1 organization
I20200326002622 NJ Practitioner - Physical Therapist in Private Practice 3173805413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians
Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

1551 Richmond Rd
Staten Island, NY 10304-2338
Phone (718) 943-9830

654 Broadway
Suite 2
Bayonne, NJ 07002-4726
Phone (201) 354-4410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040964NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist CurrentSince Feb 24, 2020 Accepting new patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jun 17, 2020 Accepting new patients

Locations

654 Broadway
Ste 2
Bayonne, NJ 07002
Phone (201) 354-4410

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

323 Marin Blvd
Jersey City, NJ 07302
Phone (551) 222-4520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

900 Route 9 N
Ste 410
Woodbridge, NJ 07095

2133 Ralph Ave
Brooklyn, NY 11234
Phone (718) 451-1400

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

1243 Woodrow Rd
Ste 323
Staten Island, NY 10309
Phone (718) 966-0111

1243 Woodrow Rd
Unit 323
Staten Island, NY 10309
Phone (718) 844-5350

1551 Richmond Rd
Staten Island, NY 10304
Phone (718) 351-6500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1033652128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022049",
            "telephone_number": "718-844-5350",
            "fax_number": "718-390-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 WOODROW RD",
            "address_2": "UNIT 323",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091725",
            "telephone_number": "718-966-0111",
            "fax_number": "718-390-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.