Michelle Lauren Brussel, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021063 Issued in NY

Practice address

200 Glenbrook Rd
Nyack, NY 10960-1306

Phone

(917) 626-3601

NPI assigned

Jan 11, 2006

Last updated

May 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
  • NPI 1811463003
  Medicare reassignment NPD

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1720067572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLENBROOK RD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601306",
            "telephone_number": "917-626-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLENBROOK RD",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601306",
            "telephone_number": "917-626-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSSEL",
        "first_name": "MICHELLE",
        "middle_name": "LAUREN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I-Yona Briggs
• David Allen Brizer, M.D.
• Eli Robert Brown, M.D.
• Janelle Brown, PH.D.
• Kathleen Brown, LCSW
• Joseph Buchsbaum, MD
• Jennifer Anne Buchwald, PSY.D.
• Samantha Sedlik Buell, PHD
• Julie A Buffington, LCSW
• Inna Bulaevsky, DO

• Physical Therapist in Nyack, NY
• Providers in Nyack, 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 May 3, 2011; 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.