Individual provider Active NPI

Michele Lynn Tolpa, PT

  • Physical Therapist
  • La Porte, TX
National Provider Identifier
1598922189
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
122633 Issued in TX
Practice address
10927 Thornwood Dr
La Porte, TX 77571-4383
Phone
(315) 725-3849
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030278-1 NY
Physical Therapist 225100000X 122633 TX Primary

Addresses

Primary practice location

10927 Thornwood Dr
La Porte, TX 77571-4383

Mailing address

10927 Thornwood Dr
La Porte, TX 77571-4383
Phone (315) 725-3849

Other practice location 1

402 Mohawk St
Herkimer, NY 13350-2217
Phone (315) 717-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000520 NY Practitioner - Physical Therapist in Private Practice 6608946165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030278-1NYMDPhysical Therapist
122633TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince May 7, 2025 Accepting new patients
Function Better PT PLLC Physical Therapist PastSince Aug 15, 2015 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

6007 Fair Lakes Rd
Ste 400
East Syracuse, NY 13057
Phone (315) 234-5730

200 W Dominick St
Rome, NY 13440
Phone (315) 339-6536

Organizations & group practices 3

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1598922189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10927 THORNWOOD DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714383",
            "telephone_number": "315-725-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 THORNWOOD DR",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775714383",
            "telephone_number": "315-725-3849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Mohawk St",
            "address_purpose": "LOCATION",
            "city": "Herkimer",
            "state": "NY",
            "postal_code": "133502217",
            "country_code": "US",
            "telephone_number": "315-717-0020",
            "fax_number": "315-717-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLPA",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030278-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "122633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.