Michael Anthony Isenberg, MPT
Individual provider Active NPI Physical Therapist · Endwell, NY
NPI 1720167448 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1720167448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 027645-1 (NY)
- Practice address
- 3125 E Main St
Endwell, NY 13760-5958 - Phone
- (607) 748-7369
- Fax
- (607) 748-4189
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Pennsylvania State University College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pullano Physical Therapy PLLC
Practice addresses (Care Compare)
3125 E Main St
Endwell, NY 13760-5958
Phone (607) 748-7369
3401 E Main St
Suite C Unit 1
Endwell, NY 13760-5978
Phone (607) 759-3452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201108000003 | NY | Practitioner - Physical Therapist in Private Practice | 8820181746 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027645-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endwell Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
3401 E Main St
Ste 1
Endwell, NY 13760
Phone (315) 671-2140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027645-1 | NY | Yes |
Addresses
Primary practice location
3125 E Main St
Endwell, NY 13760-5958
Mailing address
3125 E Main St
Endwell, NY 13760-5958
Phone (607) 748-7369
Other providers in Endwell, NY
- Patrizia Haus
- Courtney Lynn Hayes
- Shannon Hickling
- James C Holler
- Darrell George Hunink
- Joanne S Thomas LCSW PLLC
- Abha Kadam
- Constance E. Kattell
- Michelle Maria Kavanaugh
- Dawn Dolores Kerila
All providers in Endwell, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.