Miracle of Health Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020631-1 Issued in NY

Legal business name

MIRACLE OF HEALTH PHYSICAL THERAPY, P.C.

Practice address

2 Sherman Potts Dr
Suite 202
Ghent, NY 12075-3216

Phone

(518) 851-2631

Fax

(518) 851-6631

NPI assigned

Dec 6, 2012

Last updated

Mar 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Gail Shafer, P.T.NPI 1801921796

Title

Owner

Phone

(518) 851-2631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Gail Shafer, M.P.T.

  • Physical Therapist
  • Hudson, NY
  • NPI 1801921796
  Medicare reassignment NPD Authorized official
• Judith Gawron

  • Physical Therapist
  • Hudson, NY
  • NPI 1912273723
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1669717336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 STATE ROUTE 9H",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343825",
            "telephone_number": "518-851-2631",
            "fax_number": "518-851-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHERMAN POTTS DR",
            "address_2": "SUITE 202",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753216",
            "telephone_number": "518-851-2631",
            "fax_number": "518-851-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE OF HEALTH PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-851-2631",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020631-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nona Lewis, PH.D.
• Manuel Jose Marte
• Kayla Mason, DPT
• Alexis McComb, PHYSICIAN ASSISTANT
• Milestones in Speech & Language, Inc.
• Alanna Edmonds Navitski, M.S.ED.
• Elizabeth Katherine Palma, OTR/L
• Melissa Michelle Paulin, LPN
• Sarah Roberts
• Robert Dwight Semlear, M.D.

• Physical Therapist in Ghent, NY
• Providers in Ghent, 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 Mar 14, 2013; 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.