Active NPI
Michael Fina
- Physical Therapist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040964
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, PLLCJag-One Physical Therapy LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 040964 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jag-One Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
NY, Physical Therapist
-
- Physical Therapist
- West Orange, NJ
- NPI 1518017144
NJ, Physical Therapist
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.