Active NPI
Michele Dreyzin, PT
- Physical Therapist
- Wantagh, NY
National Provider Identifier
1699363085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 026991
- Practice address
- 1332 Odell St
Wantagh, NY 11793-2345 - Phone
- (516) 557-2232
- NPI assigned
- Jan 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 026991 | NY | Primary |
Addresses
Primary practice location
1332 Odell St
Wantagh, NY 11793-2345
Mailing address
1332 Odell St
Wantagh, NY 11793-2345
Phone (516) 557-2232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026991 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1699363085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 ODELL ST",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932345",
"telephone_number": "516-557-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 ODELL ST",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932345",
"telephone_number": "516-557-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREYZIN",
"first_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-02",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "026991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.