Individual provider Active NPI

Michele Leigh Rauer, PTA

  • Orthopedic Physical Therapist
  • East Patchogue, NY
National Provider Identifier
1336801240
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
006519 Issued in NY
Practice address
672 S Country Rd
East Patchogue, NY 11772-5549
Phone
(631) 654-5282
Fax
(631) 654-5253
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 006519 NY Primary

Addresses

Primary practice location

672 S Country Rd
East Patchogue, NY 11772-5549

Mailing address

672 S Country Rd
East Patchogue, NY 11772-5549
Phone (631) 654-5282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201000551 NY Practitioner - Physical Therapist in Private Practice 4284024076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Rauer Physical Therapy Assistant, P.C. Orthopedic CurrentSince Nov 29, 2021 Accepting new patients
CRS Homebased Physical Therapy, P.C. CurrentSince Oct 10, 2021 Accepting new patients

Locations

672 S Country Rd
East Patchogue, NY 11772
Phone (631) 654-5282

Organizations & group practices 2

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1336801240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 S COUNTRY RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725549",
            "telephone_number": "631-654-5282",
            "fax_number": "631-654-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 S COUNTRY RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725549",
            "telephone_number": "631-654-5282",
            "fax_number": "631-654-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUER",
        "first_name": "MICHELE",
        "middle_name": "LEIGH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "006519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.