Active NPI
Myla Delin, PT. ASSISTANT
- Physical Therapy Assistant
- New York, NY
National Provider Identifier
1275732299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 003564
- Practice address
- 280 Henry St
New York, NY 10002-4816 - Phone
- (212) 227-8401
- Fax
- (212) 227-8842
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 003564 | NY | Primary |
Addresses
Primary practice location
280 Henry St
New York, NY 10002-4816
Mailing address
280 Henry St
New York, NY 10002-4816
Phone (212) 227-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243045 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003564 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1275732299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 HENRY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024816",
"telephone_number": "212-227-8401",
"fax_number": "212-227-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 HENRY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024816",
"telephone_number": "212-227-8401",
"fax_number": "212-227-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIN",
"first_name": "MYLA",
"credential": "PT. ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "003564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243045",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.