Active NPI
Michael Christopher Neelin, PTA
- Physical Therapy Assistant
- Williamsville, NY
National Provider Identifier
1356722011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 007467
- Practice address
- 5570 Main St
Williamsville, NY 14221-5477 - Phone
- (716) 250-4137
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 007467 | NY | Primary |
Addresses
Primary practice location
5570 Main St
Williamsville, NY 14221-5477
Mailing address
5570 Main St
Williamsville, NY 14221-5477
Phone (716) 250-4137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007467 | Other | NY | NYS OFFICE OF PROFESSIONS LICENSING BUREAU |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007467 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1356722011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5570 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215477",
"telephone_number": "716-250-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5570 MAIN ST",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215477",
"telephone_number": "716-250-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELIN",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "007467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF PROFESSIONS LICENSING BUREAU",
"identifier": "007467",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.