Individual provider Active NPI

Michelle Moresca Armedilla, PT

  • Physical Therapist
  • New Milford, NJ
National Provider Identifier
1104088616
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0292591 Issued in NY
Practice address
229 Linden Place
New Milford, NJ 07646
Phone
(818) 648-3043
Fax
(718) 518-1244
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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 0292591 NY Primary

Addresses

Primary practice location

229 Linden Place
New Milford, NJ 07646

Mailing address

229 Linden PL
New Milford, NJ 07646-3042
Phone (818) 648-3043

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
029259NYMDPharmacist
0292591NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1104088616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LINDEN PL",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463042",
            "telephone_number": "818-648-3043",
            "fax_number": "718-518-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 LINDEN PLACE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "07646",
            "telephone_number": "818-648-3043",
            "fax_number": "718-518-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMEDILLA",
        "first_name": "MICHELLE",
        "middle_name": "MORESCA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0292591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.