Carolyn Michelitsch

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012007 Issued in NY

Practice address

127 Rocky Point Landing Rd
Rocky Point, NY 11778-9106

Phone

(631) 821-7240

Fax

(631) 821-7240

NPI assigned

Dec 14, 2017

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Physical Occupational Speech Massage Therapy and Acupuncture PLLGroup PAC ID 1254553639, 448 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Metro PT OT and SLP Health PLLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1447564042
  NPD

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1104331024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROCKY POINT LANDING RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789106",
            "telephone_number": "631-821-7240",
            "fax_number": "631-821-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROCKY POINT LANDING RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789106",
            "telephone_number": "631-821-7240",
            "fax_number": "631-821-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELITSCH",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann E. Melucci, CRNA
• Krista Metrinko, LMSW
• Allan Michael Meyer Jr., OTR/L
• Ann Marie Nancy Meyers, LCSW
• Christine Micena, R.N.
• Matthew Jon Miller, DDS
• Mind Body Soul Marriage and Family Therapy PLLC
• Kathleen Monahan, DSW LCSW
• Rebecca Nicole Monastero, MD
• Money Addictions of America LLC

• Physical Therapist in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.