Michelle Mary Mallalieu, M.S.P.T., C.L.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026129 Issued in NY

Practice address

101 Saint Andrews LN
Glen Cove, NY 11542-2254

Phone

(516) 674-7571

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sherrie Glasser Physical Therapy/John Douglas Pta

  • Specialist
  • Nesconset, NY
  • NPI 1205019403
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1306897905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 GORMLEY AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663008",
            "telephone_number": "516-992-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT ANDREWS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422254",
            "telephone_number": "516-674-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLALIEU",
        "first_name": "MICHELLE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "M.S.P.T., C.L.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Maggiore, LMHC
• David C Mainenti, L. AC., DIPL. O.M.
• Justin Gene Maiorana
• Pulkit Malik, M.D.
• Urooj Kusar Malik, PHARMD
• Kathleen Marie Malley
• Wai C Man, D.O.
• David Daniel Manevitz, D.O.
• Joseph Mangini, RPH
• Thomas Francis Mannino, MD

• Physical Therapist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.