Michelle Fried, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030336 Issued in NY

Practice address

104 Combs Ave
Woodmere, NY 11598

Phone

(718) 962-5852

NPI assigned

Feb 13, 2009

Last updated

Jun 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Wolnerman Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Medical PCGroup PAC ID 0143610600, 93 clinicians

Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home-Based Physical Therapy PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1356900989
  Medicare reassignment NPD Authorized official
• Metro Care Providers PT, PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1639959919
  Medicare reassignment NPD Authorized official
• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891
  Medicare reassignment Care Compare group NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  Medicare reassignment Care Compare group NPD
• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282
  Medicare reassignment NPD
• Richard Bodian, PT

  dba One On One Physical Therapy

  • Physical Therapist
  • Staten Island, NY
  • NPI 1306037023
  NPD (past)
• Richard Bodian, PT

  dba One On One Physical Therapy

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1558558700
  NPD (past)

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1659510642",
    "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": "718-962-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "718-962-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 Ralph Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112345405",
            "country_code": "US",
            "telephone_number": "718-451-1400",
            "fax_number": "718-451-2797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIED",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WOLNERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aliza E Frankel-Segal, AU.D.
• Nadine Frankel, LCSW
• Samuel Judah Frankel, PH.D.
• Maya Freed, LCSW
• Deena Fried
• Laura Anne Friedman, D.D.S.
• Liana Bella Friedman
• Ruth Friedman, SLP
• Joseph Y Fuchs, O.D.
• David K Funt, MD

• Physical Therapist in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.