Individual provider Active NPI

Michael Peralta, PT

  • Physical Therapist
  • East Meadow, NY
National Provider Identifier
1194743476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22182 Issued in NY
Practice address
258 E Meadow Ave
East Meadow, NY 11554-2456
Phone
(516) 222-2010
Fax
(516) 222-2011
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22182 NY Primary

Addresses

Primary practice location

258 E Meadow Ave
East Meadow, NY 11554-2456

Mailing address

415 Argyle Rd
5F
Brooklyn, NY 11218-5460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000548 NY Practitioner - Physical Therapist in Private Practice 4688670789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Therapeutics PT and OT PLLC 41 clinicians

Practice addresses (Care Compare)

1 Huntington Quadrangle
Suite 1S07
Melville, NY 11747-4426
Phone (516) 222-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22182NYMDPhysical Therapist
022182NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Therapeutics PT & OT PLLC Physical Therapist CurrentSince Nov 1, 2014 Accepting new patients
Access Home Mobility & Safety Consultants, LLC PastSince Jun 18, 2023 Accepting new patients
Propel Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

258 E Meadow Ave
Ste 1
East Meadow, NY 11554
Phone (516) 222-2010

258 E Meadow Ave
Ste 3
East Meadow, NY 11554
Phone (516) 222-2010

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

560 Broadhollow Rd
Ste 304
Melville, NY 11747
Phone (516) 222-2010

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194743476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ARGYLE RD",
            "address_2": "5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E MEADOW AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542456",
            "telephone_number": "516-222-2010",
            "fax_number": "516-222-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "22182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.