Individual provider Active NPI

Margerita M Frisella-Haller, PT

  • Physical Therapist
  • Rockville Centre, NY
National Provider Identifier
1265652218
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007850 Issued in NY
Practice address
100 No. Centre Avenue
Suite 203
Rockville Centre, NY 11570-6301
Phone
(516) 353-3664
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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 007850 NY Primary

Addresses

Primary practice location

100 No. Centre Avenue
Suite 203
Rockville Centre, NY 11570-6301

Mailing address

121 Atkinson Rd
Rockville Centre, NY 11570-1106
Phone (516) 536-5158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000950 NY Practitioner - Physical Therapist in Private Practice 2668492505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Centre Ave
Suite 203
Rockville Centre, NY 11570-6301
Phone (516) 353-3664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007850NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Margerita Frisella-Haller, MSPT, P.C. Physical Therapist CurrentSince Apr 19, 2010 Accepting new patients
Go Physical Therapy and Wellness PC Physical Therapist PastSince Mar 13, 2012 Accepting new patients
Physical Medicine of Suffolk, LLP Past Accepting new patients
Progressive Physical Medicine and Rehabilitation Past Accepting new patients

Locations

100 N Centre Ave
Ste 203
Rockville Ctr, NY 11570
Phone (516) 353-3664

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1265652218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ATKINSON RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701106",
            "telephone_number": "516-536-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NO. CENTRE AVENUE",
            "address_2": "SUITE 203",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115706301",
            "telephone_number": "516-353-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISELLA-HALLER",
        "first_name": "MARGERITA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "007850",
            "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 Sep 16, 2014; 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.