Michael John Bardunias, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019101-1 Issued in NY

Practice address

162 Jericho Tpke
Floral Park, NY 11001-2006

Phone

(516) 326-2525

Fax

(516) 326-2538

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health and Wellness Physical Therapy, PC

  • Physical Therapist
  • Middletown, NY
  • NPI 1194968198
  NPD Authorized official
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1629053194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FRANK ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012006",
            "telephone_number": "516-326-2525",
            "fax_number": "516-326-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDUNIAS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019101-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitriy Bakhramov Sr.
• Dianne Renee Balles, RN
• Josephine F Bannerjee, MD
• Lisa Ann Barbato
• Joel Barbosa
• Christina Barr, LAC
• Ganapathi Baskar, M.D.
• Joaquin Ty Beasca, PA
• Jessie M Beaubrun, PHARMD
• Judith Beck

• Physical Therapist in Floral Park, NY
• Providers in Floral Park, 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 Aug 20, 2008; 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.