Michael Jason Maggard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

006306-1 Issued in NY

Practice address

897 Broadway
New York, NY 10003-1205

Phone

(212) 674-7878

Fax

(212) 673-7878

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437169323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 AVENUE A APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100093401",
            "telephone_number": "917-674-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031205",
            "telephone_number": "212-674-7878",
            "fax_number": "212-673-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGARD",
        "first_name": "MICHAEL",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "006306-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "006306-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mager & Gougelman Inc
• Camilla E Mager, PSY.D.
• Christine Anne Mager, PT MS OCS
• Keara Mageras, PSY.D.
• Matthew Magerle, PT, DPT
• Rajiv Magge, M.D.
• Renee Maggette
• Jason Christopher Maggi, MD
• Lauren Maggiacomo
• Gabrielle Elisabeth Jakobsen Maggio, FNP-BC

• Physical Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Assistant 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.