Active NPI
Nicole Michelle Amin, PHYSICAL THERAPIST
- Physical Therapist
- East Islip, NY
National Provider Identifier
1235330051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 018070
- Practice address
- 174 E Main St
East Islip, NY 11730-2633 - Phone
- (631) 277-9283
- Fax
- (631) 277-9394
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018070 | NY | Primary |
Addresses
Primary practice location
174 E Main St
East Islip, NY 11730-2633
Mailing address
141 Ocean Ave
Islip, NY 11751-4212
Phone (631) 277-9283
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018070 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1235330051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 OCEAN AVE",
"city": "ISLIP",
"state": "NY",
"postal_code": "117514212",
"telephone_number": "631-277-9283",
"fax_number": "631-277-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 E MAIN ST",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302633",
"telephone_number": "631-277-9283",
"fax_number": "631-277-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "NICOLE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.