Lillie Michele Rosenthal, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

210043 Issued in NY

Practice address

250 W 57TH St Ste 829
New York, NY 10107-0817

Phone

(212) 459-1447

Fax

(212) 459-1953

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 27, 2015 through Apr 27, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Maio-Therapy Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1538287917
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407909112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST STE 829",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070817",
            "telephone_number": "212-459-1447",
            "fax_number": "212-459-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST STE 829",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070817",
            "telephone_number": "212-459-1447",
            "fax_number": "212-459-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "LILLIE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "210043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "210043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie B Rosenthal, LMSW
• Karen Rosenthal
• Lara Rosenthal, L.AC.
• Larry Rosenthal, D.D.S.
• Lesley R Rosenthal, DDS
• Michael Rosenthal, M.D.
• Michael Rosenthal, PHD
• Michele L. Rosenthal, MD
• Mira Rosenthal, CSW, PHD
• Murray S Rosenthal, DDS

• Neuromusculoskeletal Medicine & OMM Physician in New York, NY
• Providers in New York, NY by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.