Individual provider Active NPI

Michael Marcos Morgan, PT

  • Physical Therapist
  • Rosedale, NY
National Provider Identifier
1356476451
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22691 Issued in NY
Practice address
235-20 147TH Street
Rosedale, NY 11422
Phone
(347) 894-9860
Fax
(347) 894-9878
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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 22691 NY Primary

Addresses

Primary practice location

235-20 147TH Street
Rosedale, NY 11422

Mailing address

469 7 TH Avenue
Suite 327-328 3Rd Floor
New York, NY 11422-1329
Phone (212) 359-9516

Other identifiers 1

IdentifierTypeStateIssuer
246075MedicaidNY

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
22691NYMDPhysical Therapist
022691NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bensonhurst Mega Medical Care PC Past Accepting new patients
Chesapeake Rehabilitation Group, Inc. Physical Therapist PastSince Sep 1, 2007 Accepting new patients
Advanced Diagnostic Services at Hutchinson Inc PastSince Sep 25, 2008 Accepting new patients

Organizations & group practices 3

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1356476451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 7 TH AVENUE",
            "address_2": "SUITE 327-328 3RD FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "114221329",
            "telephone_number": "212-359-9516",
            "fax_number": "718-775-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235-20 147TH STREET",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "347-894-9860",
            "fax_number": "347-894-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MICHAEL",
        "middle_name": "MARCOS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "22691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.