Michael Macchiarulo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041846 Issued in NY

Practice address

1188 Willis Ave # 326
Albertson, NY 11507-1229

Phone

(347) 236-9971

NPI assigned

Aug 29, 2017

Last updated

Jul 31, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Promet Physical Therapy, PC

  • Physical Therapist
  • Manhassett, NY
  • NPI 1184281537
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1487171427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071229",
            "telephone_number": "347-236-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 WILLIS AVE # 326",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071229",
            "telephone_number": "347-236-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIARULO",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2024-07-31",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "041846",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• M M Zaman MD PLLC
• Dmitry Malayev, D.D.S.
• Kimberly Mallon
• Manhasset Audiology PC
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• Jessy Saji Mathew

• Physical Therapist in Albertson, NY
• Providers in Albertson, 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 Jul 31, 2024; 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.