St Michael Therapeutics LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ST MICHAEL THERAPEUTICS LLC

Practice address

31 Michael St
Piscataway, NJ 08854-6074

Phone

(732) 328-0787

Fax

(732) 369-6365

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Rochielle Sakamoto Guanlao, PTNPI 1255645826

Title

Physical Therapist

Phone

(732) 328-0787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rochielle Guanlao, PT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1255645826
  Medicare reassignment NPD Authorized official
• Flor Vincent Concepcion Guanlao, PT

  • Physical Therapist
  • Cherry Hill, NJ
  • NPI 1174837744
  Medicare reassignment NPD
• Diane Marie F. Rasco, OT

  • Occupational Therapist
  • Metuchen, NJ
  • NPI 1093919094
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1265158398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MICHAEL ST",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546074",
            "telephone_number": "732-328-0787",
            "fax_number": "732-369-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MICHAEL ST",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088546074",
            "telephone_number": "732-328-0787",
            "fax_number": "732-369-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAEL THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GUANLAO",
        "authorized_official_first_name": "ROCHIELLE",
        "authorized_official_middle_name": "SAKAMOTO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-328-0787",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Care Community Services, Inc.
• Dominique Spicer, LPC
• Janna Leigh Sprock, LSW
• Sri Venkata Inc
• Arlene Sroczynski, CPD
• Stacey Staback, LPC
• Diane Standing
• Star Care Support Services
• Star Care Support Services
• Star Laboratory Corporation

• Physical Therapy Clinic/Center in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.