Individual provider Active NPI

Michelle Susan Marie Cresencia, MPT

  • Physical Therapist
  • Wellington, FL
National Provider Identifier
1528159506
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22283 Issued in FL
Practice address
10220 W Forest Hill Blvd
Suite 140
Wellington, FL 33414-9332
Phone
(561) 753-5610
Fax
(561) 795-8653
NPI assigned
Sep 27, 2006
Last updated
Nov 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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 22283 FL Primary

Addresses

Primary practice location

10220 W Forest Hill Blvd
Suite 140
Wellington, FL 33414-9332

Mailing address

9873 Baywinds Drive
Suite - 5211
West Palm Beach, FL 33411
Phone (561) 906-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22283FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osteoarthritis Centers of America Limited Partnership Past Accepting new patients
Osteoarthritis Centers of America Limited Partnership Physical Therapist PastSince Mar 24, 2010 Accepting new patients

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1528159506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9873 BAYWINDS DRIVE",
            "address_2": "SUITE - 5211",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-906-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 W FOREST HILL BLVD",
            "address_2": "SUITE 140",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149332",
            "telephone_number": "561-753-5610",
            "fax_number": "561-795-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESENCIA",
        "first_name": "MICHELLE",
        "middle_name": "SUSAN MARIE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.