Individual provider Active NPI

Michelle Orelli

  • Physical Therapist
  • Oyster Bay, NY
National Provider Identifier
1396145819
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037954 Issued in NY
Practice address
9 E Main St
Oyster Bay, NY 11771-2440
Phone
(516) 864-2900
NPI assigned
Sep 3, 2014
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 60563668 WA
Physical Therapist 225100000X 25190 MD
Physical Therapist 225100000X 037954 NY Primary

Addresses

Primary practice location

9 E Main St
Oyster Bay, NY 11771-2440

Mailing address

9 E Main St
Oyster Bay, NY 11771-2440
Phone (516) 864-2900

Other practice location 1

10004 204th Ave E
Ste 3100
Bonney Lake, WA 98391-6539
Phone (253) 863-7510

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
25190MDMDSocial Worker
037954NYMDPhysical Therapist
PT 60563668WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

2591 Route 6
Ste 202
Hawley, PA 18428
Phone (570) 226-5680

417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101

24569 Route 6
#C
Towanda, PA 18848
Phone (570) 265-1111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1396145819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712440",
            "telephone_number": "516-864-2900",
            "fax_number": "516-864-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712440",
            "telephone_number": "516-864-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 204th Ave E",
            "address_2": "Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "983916539",
            "country_code": "US",
            "telephone_number": "253-863-7510",
            "fax_number": "253-863-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORELLI",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60563668",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25190",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oyster Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.