Individual provider Active NPI

Richard E Misiura, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1619001823
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010624-1 Issued in NY
Practice address
30 E 60TH St RM 206
New York, NY 10022-7111
Phone
(212) 765-4800
Fax
(212) 765-4855
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 40QA00235000 NJ
Physical Therapist 225100000X 010624-1 NY Primary

Addresses

Primary practice location

30 E 60TH St RM 206
New York, NY 10022-7111

Mailing address

30 E 60TH St RM 206
New York, NY 10022-7111
Phone (212) 765-4800

Other practice location 1

1907 Oak Tree Rd
Ste 203
Edison, NJ 08820-2070
Phone (732) 321-1855

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
40QA00235000NJMDPhysical Therapist
010624NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1619001823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST RM 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227111",
            "telephone_number": "212-765-4800",
            "fax_number": "212-765-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST RM 206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227111",
            "telephone_number": "212-765-4800",
            "fax_number": "212-765-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 Oak Tree Rd",
            "address_2": "Ste 203",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088202070",
            "country_code": "US",
            "telephone_number": "732-321-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISIURA",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00235000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010624-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.