Individual provider Active NPI

Michelle Marie Musetti, P.T.

  • Physical Therapist
  • Moriches, NY
National Provider Identifier
1235341868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020627-1 Issued in NY
Practice address
225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425
Phone
(631) 878-7012
Fax
(631) 878-7015
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 020627-1 NY Primary

Addresses

Primary practice location

225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425

Mailing address

48 Van Buren St
Mastic, NY 11950-4118
Phone (631) 375-1159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000692 NY Practitioner - Physical Therapist in Private Practice 6305970294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State Un of Ny, Stony Brook School of Dental Med, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Michelle Musetti PT PCGroup PAC ID 9032413505, 2 clinicians

Practice addresses (Care Compare)

225 Montauk Hwy
Suite 109
Moriches, NY 11955-1411
Phone (631) 878-7012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020627-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Musetti PT PC Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients

Locations

225 Montauk Hwy
Ste 109
Moriches, NY 11955
Phone (631) 878-7012

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235341868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 VAN BUREN ST",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119504118",
            "telephone_number": "631-375-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MONTAUK HWY",
            "address_2": "SUITE 109",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "119551425",
            "telephone_number": "631-878-7012",
            "fax_number": "631-878-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSETTI",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriches, 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.