Active NPI
Fabienne Miot, PHYSICAL THERAPIST
- Pediatric Physical Therapist
- Elmont, NY
National Provider Identifier
1710132899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 013946-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 013946-1 | NY | MD | Pediatric 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.