Active NPI
Michael Haejoon Oakes, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1295194454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039879-1
- Practice address
- 315 Madison Ave.
Ste1304
New York, NY 10017-5757 - Phone
- (917) 715-4665
- Fax
- (718) 744-9234
- NPI assigned
- Feb 16, 2016
- Sex
- Male
- 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 Therapist | 225100000X | 039879-1 | NY | Primary |
Addresses
Primary practice location
315 Madison Ave.
Ste1304
New York, NY 10017-5757
Mailing address
315 Madison Ave.
Ste1304
New York, NY 10017-5757
Phone (917) 715-4665
Other practice location 1
214 W 29th St Rm 901
New York, NY 10001-5757
Phone (917) 338-6268
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://ptcareonline.com/moceanpt/calendar.xhtml | Direct | |
| Other URL | https://ptcareonline.com/moceanpt/calendar.xhtml |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039879-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mocean la Wellness Corp | Physical Therapist | Current | Accepting new patients |
Locations
7551 W Sunset Blvd
Ste 201
Los Angeles, CA 90046
Phone (914) 924-9743
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 and National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1689412298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1295194454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MADISON AVE.",
"address_2": "STE1304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175757",
"telephone_number": "917-715-4665",
"fax_number": "718-744-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MADISON AVE.",
"address_2": "STE1304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175757",
"telephone_number": "917-715-4665",
"fax_number": "718-744-9234"
}
],
"practiceLocations": [
{
"address_1": "214 W 29th St Rm 901",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100015757",
"country_code": "US",
"telephone_number": "917-338-6268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OAKES",
"first_name": "MICHAEL",
"middle_name": "HAEJOON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-16",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039879-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://ptcareonline.com/moceanpt/calendar.xhtml",
"affiliation": "N",
"endpointDescription": "EMR website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "315 Madison Ave.",
"address_2": "STE1304",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100175757",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://ptcareonline.com/moceanpt/calendar.xhtml",
"affiliation": "N",
"endpointDescription": "EMR Website",
"address_1": "315 Madison Ave.",
"address_2": "STE1304",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100175757",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.