Mark Duane Misiewicz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010906-1 Issued in NY

Practice address

1 Fox Care Dr
Oneonta, NY 13820-2086

Phone

(607) 431-5702

Fax

(607) 431-5709

NPI assigned

Apr 25, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528287604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GRIGGS RD",
            "city": "SPRINGFIELD CENTER",
            "state": "NY",
            "postal_code": "134682109",
            "telephone_number": "607-264-3127",
            "fax_number": "607-264-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOX CARE DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202086",
            "telephone_number": "607-431-5702",
            "fax_number": "607-431-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIEWICZ",
        "first_name": "MARK",
        "middle_name": "DUANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Michaels, PT
• Lawrence Otto Mietzelfeld Jr., D.C.
• Amanda L Miles, NYCPS
• Alexis Militello, MS, CCC-SLP
• Ann Marie Mills, LCSWR
• Christine Talmage Mitchell, R.N.
• Mario Andre Molinaro, MA, LMHC
• Shannah Marie Mondore, LMSW
• Lisa Koehl Mooney, M.D.
• Taryn J More, DDS

• Physical Therapist in Oneonta, NY
• Providers in Oneonta, 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 8, 2007; 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.