Individual provider Active NPI

Miho Urisaka, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1346472073
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031717 Issued in NY
Practice address
315 Madison Ave FL 17
New York, NY 10017-5419
Phone
(917) 470-1130
Fax
(212) 808-5510
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 031717 NY Primary

Addresses

Primary practice location

315 Madison Ave FL 17
New York, NY 10017-5419

Mailing address

315 Madison Ave FL 17
New York, NY 10017-5419
Phone (917) 470-1130

Other practice location 1

30 E 60th St Rm 505
New York, NY 10022-1045
Phone (917) 470-1130

Other practice location 2

3010 Westchester Ave Ste 206
Purchase, NY 10577-2524
Phone (917) 470-1130

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
031717NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Movement PT, PLLC Current Accepting new patients
Utstein & Gow P.T., P.C. PastSince Jan 1, 1994 Accepting new patients

Locations

15 W 44th St
Fl 10
New York, NY 10036
Phone (212) 575-8910

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": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1346472073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175419",
            "telephone_number": "917-470-1130",
            "fax_number": "212-808-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175419",
            "telephone_number": "917-470-1130",
            "fax_number": "212-808-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E 60th St Rm 505",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221045",
            "country_code": "US",
            "telephone_number": "917-470-1130",
            "fax_number": "212-808-5510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3010 Westchester Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Purchase",
            "state": "NY",
            "postal_code": "105772524",
            "country_code": "US",
            "telephone_number": "917-470-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URISAKA",
        "first_name": "MIHO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 8, 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.

Verify at the official NPI Registry.