Individual provider Active NPI

Michael John Sweeney, DPT

  • Physical Therapist
  • Cross River, NY
National Provider Identifier
1073000600
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020568 Issued in NY
Practice address
890 Route 35
Cross River, NY 10518-1139
Phone
(914) 763-5941
Fax
(914) 763-5332
NPI assigned
Apr 19, 2018
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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 020568 NY Primary

Addresses

Primary practice location

890 Route 35
Cross River, NY 10518-1139

Mailing address

990 Peachtree Industrial Blvd Unit 101
Suwanee, GA 30024-5201
Phone (833) 888-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000617 NY Practitioner - Physical Therapist in Private Practice 0345268082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 N Salem Rd
Lowr Level
Cross River, NY 10518-1104
Phone (914) 763-5941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Physical Therapy PC Physical Therapist CurrentSince Jan 31, 2023 Accepting new patients
Physical Therapy of Lewisboro Physical Therapist PastSince Apr 23, 2018 Accepting new patients

Locations

20 N Salem Rd
Lowr
Cross River, NY 10518
Phone (914) 763-5941

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1073000600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD UNIT 101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245201",
            "telephone_number": "833-888-7868",
            "fax_number": "833-888-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ROUTE 35",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105181139",
            "telephone_number": "914-763-5941",
            "fax_number": "914-763-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.