Individual provider Active NPI

Melissa Ann Pulice, DPT

  • Physical Therapist
  • Westbury, NY
National Provider Identifier
1063611259
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026802-1 Issued in NY
Practice address
761 Merrick Ave
Westbury, NY 11590
Phone
(516) 357-8777
Fax
(516) 357-0087
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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 026802-1 NY Primary

Addresses

Primary practice location

761 Merrick Ave
Westbury, NY 11590

Mailing address

761 Merrick Ave
Westbury, NY 11590-6608
Phone (516) 357-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026802-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liht Occupational Therapy PC PastSince Mar 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1063611259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MERRICK AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906608",
            "telephone_number": "516-357-8777",
            "fax_number": "576-357-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MERRICK AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-357-8777",
            "fax_number": "516-357-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULICE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026802-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.