Active NPI
Michael Patrick Huson, PT, DPT, MS
- Physical Therapist
- Geneva, NY
National Provider Identifier
1417959461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023660-1
- Practice address
- 675 W Washington St
Geneva, NY 14456-2119 - Phone
- (315) 781-1144
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225100000X | 023660-1 | NY | Primary |
Addresses
Primary practice location
675 W Washington St
Geneva, NY 14456-2119
Mailing address
675 W Washington St
Geneva, NY 14456-2119
Phone (315) 781-1144
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6698328 | Other | NY | GHI |
| P010023660 | Other | NY | BLUE CROSS BLUE SHIELD |
| 7211048 | Other | NY | AETNA |
| FA1238 | Other | NY | PREFERRED CARE |
| 470614 | Other | NY | TUFTS |
| 605817000 | Other | NY | ACS |
| 837358 | Other | NY | MPN |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023660-1 | NY | MD | Specialist |
| 023660 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1417959461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W WASHINGTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562119",
"telephone_number": "315-781-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W WASHINGTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562119",
"telephone_number": "315-781-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSON",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PT, DPT, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023660-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6698328",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P010023660",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7211048",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "FA1238",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "470614",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "605817000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "837358",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.