Active NPI
Michaela Hess, PTA, ATC
- Physical Therapy Assistant
- Monroe, NY
National Provider Identifier
1174052963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 007487-1
- Practice address
- 411 State Route 17M
Monroe, NY 10950-4123 - Phone
- (845) 507-0477
- Fax
- (845) 507-0490
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001935-1 | NY | |
| Physical Therapy Assistant | 225200000X | 007487-1 | NY | Primary |
Addresses
Primary practice location
411 State Route 17M
Monroe, NY 10950-4123
Mailing address
143 Valley View Ave
Monroe, NY 10950-1156
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007487-1 | NY | MD | Physical Therapy Assistant |
| 001935-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1174052963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 VALLEY VIEW AVE",
"city": "MONROE",
"state": "NY",
"postal_code": "109501156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 STATE ROUTE 17M",
"city": "MONROE",
"state": "NY",
"postal_code": "109504123",
"telephone_number": "845-507-0477",
"fax_number": "845-507-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "MICHAELA",
"credential": "PTA, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001935-1",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "007487-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.