Nancy Michaels, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00228500 Issued in NJ

Practice address

1361 Route 72 W
Manahawkin, NJ 08050-2417

Phone

(609) 978-0600

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1639844269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 PIRATE LN",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ROUTE 72 W",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502417",
            "telephone_number": "609-978-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "NANCY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00228500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Hospitals Corporation (Southern Ocean Medical Center)
• Meridian Hospitals Corporation (Southern Ocean Medical Center - TCU)
• Walter Metlitz, R.P.
• Isabella Micca, SLP
• Michael Pasmowitz DDS, LLC
• Karen Middleton
• Robin G Midouhas, APN
• Diane Tamara Miele, RPH
• Jeremy Miller, RPH, PHARMD
• Karin Miller, D.M.D.

• Physical Therapy Assistant in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.