Individual provider Active NPI

Miriam Selig

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1669418968
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
014506-1 Issued in NY
Practice address
1651 Coney Island Ave
First Floor
Brooklyn, NY 11230-5849
Phone
(718) 998-1415
Fax
(718) 627-1855
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014506-1 NY Primary

Addresses

Primary practice location

1651 Coney Island Ave
First Floor
Brooklyn, NY 11230-5849

Mailing address

1651 Coney Island Ave
First Floor
Brooklyn, NY 11230-5849
Phone (718) 998-1415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130320000721 NY Practitioner - Physical Therapist in Private Practice 2961647003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014506-1NYMDClinical Psychologist
014506NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MZS Physical Therapy PLLC Physical Therapist CurrentSince Jan 14, 1999 Accepting new patients
Markowitz Speech and Swallowing Therapy P.C. Physical Therapist PastSince Jan 14, 1999 Accepting new patients

Locations

1651 Coney Island Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 627-3114

1651 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 382-2204

1651 Coney Island Ave
Ste 2
Brooklyn, NY 11230
Phone (347) 782-6935

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1669418968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 CONEY ISLAND AVE",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305849",
            "telephone_number": "718-998-1415",
            "fax_number": "718-627-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 CONEY ISLAND AVE",
            "address_2": "FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305849",
            "telephone_number": "718-998-1415",
            "fax_number": "718-627-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIG",
        "first_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014506-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.