NPIMap

Organization Active NPI

Metro Care Providers PT, PLLC

  • Physical Therapist
  • Woodmere, NY
National Provider Identifier
1639959919
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
METRO CARE PROVIDERS PT, PLLC
Practice address
104 Combs Ave
Woodmere, NY 11598-1431
Phone
(516) 551-7440
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Michelle FriedNPI 1659510642
Title
Owner
Phone
(516) 551-7440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

104 Combs Ave
Woodmere, NY 11598-1431

Mailing address

104 Combs Ave
Woodmere, NY 11598-1431
Phone (516) 551-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102001486 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163872201 Receives reassigned benefits from 16 practitioners
Practice locations: Bronx, NY; Woodmere, NY; Orchard Park, NY; Geneva, NY; Auburn, NY; Baldwinsville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1639959919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981431",
            "telephone_number": "516-551-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981431",
            "telephone_number": "516-551-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CARE PROVIDERS PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-551-7440"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.