Active NPI
Marcia Rennae McElroy, PHYSICAL THERAPIST
- Physical Therapist
- New York, NY
National Provider Identifier
1629300876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028188-1
- Practice address
- 106 Morningside Dr.
Apt. 22
New York, NY 10027 - Phone
- (520) 271-4422
- NPI assigned
- Feb 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028188-1 | NY | Primary |
| Physical Therapist | 225100000X | 008394 | CT | |
| Physical Therapist | 225100000X | 012682 | OH | |
| Physical Therapist | 225100000X | 3288 | AZ |
Addresses
Primary practice location
106 Morningside Dr.
Apt. 22
New York, NY 10027
Mailing address
106 Morningside Dr.
Apt. 22
New York, NY 10027
Phone (520) 271-4422
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 |
|---|---|---|---|
| 3288 | AZ | MD | General Practice Dentistry |
| 008394 | CT | MD | General Practice Dentistry |
| 028188-1 | NY | MD | Physical Therapist |
| 012682 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1629300876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MORNINGSIDE DR.",
"address_2": "APT. 22",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "520-271-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MORNINGSIDE DR.",
"address_2": "APT. 22",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "520-271-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "MARCIA",
"middle_name": "RENNAE",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028188-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008394",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "012682",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3288",
"primary": false
}
],
"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 Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.