Individual provider Active NPI

Michelle Ceniza, PT

  • Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1083802623
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030875 Issued in NY
Practice address
3704 91St St
Jackson Heights, NY 11372-7914
Phone
(718) 396-1742
Fax
(718) 396-3207
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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 030875 NY Primary

Addresses

Primary practice location

3704 91St St
Jackson Heights, NY 11372-7914

Mailing address

3704 91St St
Jackson Heights, NY 11372-7914
Phone (718) 396-1742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119001943 NY Practitioner - Physical Therapist in Private Practice 3779837299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander Dolsky PTPCGroup PAC ID 9638345978, 5 clinicians

Practice addresses (Care Compare)

90 -33 Elmhurst Ave
Jackson Heights, NY 11372-7935
Phone (718) 565-2970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030875NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Sep 22, 2018 Accepting new patients
Alexander Dolsky PTPC Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

11045 Queens Blvd
Ste 105
Forest Hills, NY 11375
Phone (718) 294-5000

9033 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 457-7000

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 3

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1083802623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727914",
            "telephone_number": "718-396-1742",
            "fax_number": "718-396-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727914",
            "telephone_number": "718-396-1742",
            "fax_number": "718-396-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENIZA",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.