Michael Tyrae Pinckney, D.P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

027136-1 Issued in NY

Practice address

15 Neil CT
Inside Friedberg JCC
Oceanside, NY 11572-5815

Phone

(516) 766-0505

Fax

(516) 766-0680

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Physical Therapy PCGroup PAC ID 1355418104, 10 clinicians

Practice addresses (Care Compare)

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.

• Advance Physical Therapy, P.C.

  • Physical Therapist
  • Wantagh, NY
  • NPI 1417093618
  Medicare reassignment Care Compare group NPD
• Physical Therapy and Aquatics by the Sea, PLLC

  • Physical Therapist
  • Oceanside, NY
  • NPI 1427084284
  Medicare reassignment NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1629084736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "address_2": "INSIDE FRIEDBERG JCC",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "address_2": "INSIDE FRIEDBERG JCC",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCKNEY",
        "first_name": "MICHAEL",
        "middle_name": "TYRAE",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "027136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinh Q Phan, M.D.
• Anne Phillips
• Physical Therapy and Aquatics by the Sea, PLLC
• Dena M Pierce, MS RPT
• Mary N Pierre, RN
• Daniella Pinkhasova, MD
• Jillian Rose Polchinski, M.S.
• Gina L. Pontrelli, P.A.
• Natalie Louisa Poppito, MD
• Judy Portelli, NP-C

• Specialist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.