Michael Edward Boylan, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

550 5TH Ave
Brooklyn, NY 11215-7373

Phone

(718) 258-3300

NPI assigned

Nov 18, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

New York University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-County Physical Therapy LLCGroup PAC ID 6709936941, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.76 of 100Reported as group

Quality

73.44

Improvement activities

40

Cost

74.61

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.

• Mid-County Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Woodbridge, VA
  • NPI 1306070164

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Supreme Care Physical Therapy and Occupational Therapy, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1841522190
  Medicare reassignment NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1649989617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E 19TH ST APT 6P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264831",
            "telephone_number": "570-351-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157373",
            "telephone_number": "718-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "049765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy-Ann Hillary Boyke, PA-C
• Evelyn Boykin
• Melissa Nia Boykin, LCSW
• Anna Boyko
• Kendra Dora Boylan, LCSW
• Joseph John Boyle, MHC-LP
• Kelly Boyle, PA-C
• Kelsey Boyle, B.S.
• Matthew Joseph Boyle
• Roxanne M Boyle, OTR/L

• Orthopedic Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.