Kornelia Mierzejewska, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048632 Issued in NY

Practice address

1157 Hyman Ave
Bay Shore, NY 11706-6109

Phone

(347) 515-5551

NPI assigned

Sep 21, 2021

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1316618317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 HYMAN AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066109",
            "telephone_number": "347-515-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 HYMAN AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066109",
            "telephone_number": "347-515-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERZEJEWSKA",
        "first_name": "KORNELIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth M Meslin, MS, CCC-SLP
• Metropolitan Psychological & Licensed Master Social Work Services PLLC
• Nancy Jean Meyer
• Glenn Charles Meyers, RPA-C
• Richard Francis Michalowicz, M.D.
• Anne F Miglio, NP
• Ayanna Miles
• Melissa Milla
• Serraya Milland
• Clifford Miller, MS,APRN,BC-FNP

• Physical Therapist in Bay Shore, NY
• Providers in Bay Shore, 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 Oct 23, 2026; 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.