Active NPI
Michelle Doxsee PT PC
- Physical Therapy Clinic/Center
- Patchogue, NY
National Provider Identifier
1316417702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- MICHELLE DOXSEE PT PC
- Practice address
- 157 N Ocean Ave
Patchogue, NY 11772-2016 - Phone
- (631) 513-7398
- NPI assigned
- Nov 28, 2018
- Last updated
- Dec 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Doxsee, PT
- Title
- Owner/ Physical Therapist
- Phone
- (631) 513-7398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
157 N Ocean Ave
Patchogue, NY 11772-2016
Mailing address
24 Dewey St
Sayville, NY 11782-1302
Phone (631) 513-7398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3848958 | Other | NY | TAX ID |
National Provider Directory
National Provider DirectoryLocations
299 Raft Ave
Sayville, NY 11782
Phone (631) 291-6531
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Patchogue, NY
- NPI 1265461560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1316417702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DEWEY ST",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117821302",
"telephone_number": "631-513-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 N OCEAN AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117722016",
"telephone_number": "631-513-7398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE DOXSEE PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-28",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "DOXSEE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
"authorized_official_telephone_number": "631-513-7398",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "04-3848958",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.