Michelle E. Wolpov, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00391100 Issued in NJ

Practice address

455 US Highway 9
Professional Sports & Orthopaedic Rehablitaiton, LLC
Manalapan, NJ 07726-8274

Phone

(732) 617-8090

Fax

(732) 972-5458

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083769889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 US HIGHWAY 9",
            "address_2": "PROFESSIONAL SPORTS & ORTHOPAEDIC REHABLITAITON, LLC",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268274",
            "telephone_number": "732-617-8090",
            "fax_number": "732-972-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 US HIGHWAY 9",
            "address_2": "PROFESSIONAL SPORTS & ORTHOPAEDIC REHABLITAITON, LLC",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268274",
            "telephone_number": "732-617-8090",
            "fax_number": "732-972-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPOV",
        "first_name": "MICHELLE",
        "middle_name": "E.",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00391100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick Wilson
• Mindy Lillian Winant, M.S. ED
• Kristina Marie Wojewoda
• Brad M Wolff, PH.D.
• Steven Wolfson, MS LAC
• Monika Wysoczanska, OD
• Xijao LLC
• Fady Yakoub
• Lisa Marie Yannucci, PH.D.
• Oksana Yarin, LMSW

• Physical Therapist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.