Ian Mari Viray Micabalo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029559 Issued in NY

Practice address

37 W 26TH St RM 302
Ny,Ny
New York, NY 10010-1047

Phone

(718) 285-0588

NPI assigned

Nov 9, 2007

Last updated

Oct 27, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Sos PT PCGroup PAC ID 7214955533, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Sos PT PC

  • Physical Therapist
  • New York, NY
  • NPI 1407905458
  Medicare reassignment Care Compare group NPD
• Core Physical Therapy Services PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1184269755
  Medicare reassignment NPD
• Esd PT OT & SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003383308
  Medicare reassignment NPD
• Manhattan Therapeutic Research Foundation

  • Physical Therapist
  • New York, NY
  • NPI 1417188913
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1467632232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 MADISON AVE APT 12C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100372236",
            "telephone_number": "646-479-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 26TH ST RM 302",
            "address_2": "NY,NY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101047",
            "telephone_number": "718-285-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICABALO",
        "first_name": "IAN MARI",
        "middle_name": "VIRAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ke Miao
• Lina Miao
• Wei Miao, MD
• Anna Rita Miari, M.D.
• Asmaa K Miazi
• Micah Eastman LPN, Michael Eastman RN, Oshea Eastman RN, PLLC (Mmo Nursing)
• Nadia Micali, MD, PHD
• Courtney R Micallef, MD
• Miccass Physical Therapy, P.C.
• Anna Micek, MA

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.