Individual provider Active NPI

Myriah C Pahl, DPT

  • Physical Therapist
  • Tarrytown, NY
National Provider Identifier
1447618210
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035202 Issued in NY
Practice address
55 S Broadway Ste 2
Tarrytown, NY 10591-4004
Phone
(914) 200-1475
Fax
(904) 490-9036
NPI assigned
Feb 8, 2016
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 035202 NY Primary

Addresses

Primary practice location

55 S Broadway Ste 2
Tarrytown, NY 10591-4004

Mailing address

55 S Broadway Ste 2
Tarrytown, NY 10591-4004
Phone (914) 200-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001867 NY Practitioner - Physical Therapist in Private Practice 5395041909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Good Life Physical Therapy PLLCGroup PAC ID 2163831140, 4 clinicians

Practice addresses (Care Compare)

55 S Broadway
Suite 2
Tarrytown, NY 10591-4004
Phone (914) 200-1475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035202NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Jan 10, 2016 Accepting new patients
Good Life Physical Therapy PLLC Physical Therapist CurrentSince Nov 10, 2020 Accepting new patients
Comprehensive Allergy and Asthma Care PLLC CurrentSince Feb 25, 2021 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

3200 Bronx Blvd
Bronx, NY 10467
Phone (718) 515-9807

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818

65 Lafayette St
Spring Valley, NY 10977
Phone (201) 262-3287

55 S Broadway
Ste 2
Tarrytown, NY 10591
Phone (914) 200-1475

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4039/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1447618210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S BROADWAY STE 2",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914004",
            "telephone_number": "914-200-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S BROADWAY STE 2",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914004",
            "telephone_number": "914-200-1475",
            "fax_number": "904-490-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHL",
        "first_name": "MYRIAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.