Carl Mico Rojales Natividad, PT, CLT, CWS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044627-01 Issued in NY

Practice address

640 W Broadway
Long Beach, NY 11561-2900

Phone

(516) 431-4400

NPI assigned

Aug 17, 2023

Sex

Male

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 NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gotherapy Solutions LLC

  • Physical Therapist
  • Farmington, NM
  • NPI 1740173137
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1124801535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8995 SWAYING MEADOWS CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891786563",
            "telephone_number": "725-910-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612900",
            "telephone_number": "516-431-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Avenue Of The Americas",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101050302",
            "country_code": "US",
            "telephone_number": "212-981-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATIVIDAD",
        "first_name": "CARL MICO",
        "middle_name": "ROJALES",
        "credential": "PT, CLT, CWS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044627-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee A Nadell, RN
• David Nagel, LMSW
• Yupeng Nan
• Naomi Chaim Watman MD PLLC
• Christina Napoletano, LMT
• Nes Medical Services of New York PC
• Neurofit USA LLC
• New York Physical and Occupational Therapy PLLC
• New York Podiatry Care PLLC
• Neil Howard Newman, M.D. D.C.

• Physical Therapist in Long Beach, NY
• Providers in Long Beach, 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 Aug 17, 2023; 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.