Active NPI
Michael A Larosa, P.T.
- Physical Therapist
- Depew, NY
National Provider Identifier
1598049215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015976-1
- Practice address
- 4804 Transit Rd
Suite 5
Depew, NY 14043-4905 - Phone
- (716) 714-5771
- Fax
- (716) 748-6211
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015976-1 | NY | Primary |
Addresses
Primary practice location
4804 Transit Rd
Suite 5
Depew, NY 14043-4905
Mailing address
4804 Transit Rd
Suite 5
Depew, NY 14043-4905
Phone (716) 714-5771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015976-1 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1598049215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 TRANSIT RD",
"address_2": "SUITE 5",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434905",
"telephone_number": "716-714-5771",
"fax_number": "716-748-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4804 TRANSIT RD",
"address_2": "SUITE 5",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434905",
"telephone_number": "716-714-5771",
"fax_number": "716-748-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSA",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015976-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.