Individual provider Active NPI

Michael Ryan Semler, PT, DPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1538775408
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA0196500 Issued in NJ
Practice address
161 Steinway Ave
Staten Island, NY 10314-4819
Phone
(718) 551-7107
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 40QA0196500 NJ Primary

Addresses

Primary practice location

161 Steinway Ave
Staten Island, NY 10314-4819

Mailing address

161 Steinway Ave
Staten Island, NY 10314-4819
Phone (718) 551-7107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211012003067 NJ Practitioner - Physical Therapist in Private Practice 8921406513 Reassigns benefits to 2 organizations
I20211105000207 NY Practitioner - Physical Therapist in Private Practice 8921406513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Flanagan Way
Secaucus, NJ 07094-3445
Phone (201) 319-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA0196500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Physical Medicine and Rehabilitation Center PA Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Fennec Performan LLC CurrentSince Aug 7, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients

Locations

500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760

70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

150 Flanagan Way
Secaucus, NJ 07094
Phone (201) 319-0010

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

576 Broadhollow Rd
Melville, NY 11747

365 Route 304
Ste 102
Nanuet, NY 10954
Phone (845) 624-2182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1538775408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 STEINWAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144819",
            "telephone_number": "718-551-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 STEINWAY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144819",
            "telephone_number": "718-551-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMLER",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA0196500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.