Individual provider Active NPI

Michael Haejoon Oakes, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1295194454
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
039879-1 Issued in NY
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

Updated by the provider on Aug 27, 2020

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
039879-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mocean la Wellness Corp Physical Therapist CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.