Mikhael David Rosenberg, LAC, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021102 Issued in NY

Practice address

4230 Hempstead Tpke Ste 106
Bethpage, NY 11714-5700

Phone

(516) 470-1669

NPI assigned

Nov 23, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Focus Acupuncture and Physical Therapy P.C.

  • Physical Therapist
  • Bethpage, NY
  • NPI 1508374026

  Acupuncturist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215239397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRETON AVE",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117471302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE STE 106",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-470-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Breton Ave",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117471302",
            "country_code": "US",
            "telephone_number": "516-851-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "MIKHAEL",
        "middle_name": "DAVID",
        "credential": "LAC, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004021",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Romano, PA-C
• Lisa Jayne R Romano, M.A. CCC-SLP
• Adam Joshua Rosenbaum, MD
• Joseph S Rosenberg, M.D.
• Lewis Stephen Rosenberg, M.D.
• Alan Rosenbloom, M.D., F.A.A.P.
• Adrienne Jane Rothar, LCSW
• Mark Steven Rothman, DDS
• Robert F Rothman, M.D.
• Renitha Roy, DO

• Physical Therapist in Bethpage, NY
• Providers in Bethpage, 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 Mar 17, 2018; 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.