Barry Scott Michaelson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4367 Issued in NM

Practice address

8051 Palomas Ave NE
Albuquerque, NM 87109-5284

Phone

(410) 486-0275

Fax

(410) 486-0276

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1528066883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 PINE RIDGE LN",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083731",
            "telephone_number": "410-486-0275",
            "fax_number": "410-486-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 PALOMAS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095284",
            "telephone_number": "410-486-0275",
            "fax_number": "410-486-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "BARRY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MD",
            "license": "17822",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "17822",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "MD",
            "license": "17822",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT4367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143300800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S. Mitnik, M.D.,PC
• Emily Michael
• Kristell L Michael, APN
• Morgan Michael
• Eric Michaelsen, D.O.M
• Susan K. Michalske, APRN BC
• David M Michalski, OTR/L
• Koryn Kiesling Michaud, FNP-C
• Taylor Michaud
• John Joseph Michelitch

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.