Individual provider Active NPI

Lynn Ann Migliaccio, PTA, RN

  • Physical Therapy Assistant
  • Rockville Centre, NY
National Provider Identifier
1235570508
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
004156 Issued in NY
Practice address
7 Hanover PL
Rockville Centre, NY 11570-4201
Phone
(516) 766-3020
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 004156 NY Primary

Addresses

Primary practice location

7 Hanover PL
Rockville Centre, NY 11570-4201

Mailing address

7 Hanover PL
Rockville Centre, NY 11570-4201
Phone (516) 766-3020

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
004156NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1235570508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HANOVER PL",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704201",
            "telephone_number": "516-766-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HANOVER PL",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704201",
            "telephone_number": "516-766-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIACCIO",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "PTA, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.