Individual provider Active NPI

Fabienne Miot, PHYSICAL THERAPIST

  • Pediatric Physical Therapist
  • Elmont, NY
National Provider Identifier
1710132899
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
013946-1 Issued in NY
Practice address
157 Village Ave
Elmont, NY 11003-4237
Phone
(516) 270-2957
Fax
(516) 270-2957
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013946-1 NY
Geriatric Physical Therapist 2251G0304X 013946-1 NY
Pediatric Physical Therapist 2251P0200X 013946-1 NY Primary
Sports Physical Therapist 2251S0007X 013946-1 NY
Orthopedic Physical Therapist 2251X0800X 013946-1 NY

Addresses

Primary practice location

157 Village Ave
Elmont, NY 11003-4237

Mailing address

157 Village Ave
Elmont, NY 11003-4237
Phone (516) 270-2957

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

LicenseStateTypeSpecialty
013946-1NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1710132899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 VILLAGE AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034237",
            "telephone_number": "516-270-2957",
            "fax_number": "516-270-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 VILLAGE AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034237",
            "telephone_number": "516-270-2957",
            "fax_number": "516-270-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIOT",
        "first_name": "FABIENNE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013946-1",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "013946-1",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "013946-1",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "013946-1",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "013946-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.