Individual provider Active NPI

Karen Anne Michella, P.T., DPT

  • Physical Therapist
  • Cortlandt Manor, NY
National Provider Identifier
1720291263
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025147 Issued in NY
Practice address
New York-Presbyterian/Hudson Valley Hospital
1980 Crompond Road
Cortlandt Manor, NY 10567
Phone
(914) 734-3251
Fax
(914) 737-6439
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 025147 NY Primary
Orthopedic Physical Therapist 2251X0800X 025147 NY

Addresses

Primary practice location

New York-Presbyterian/Hudson Valley Hospital
1980 Crompond Road
Cortlandt Manor, NY 10567

Mailing address

New York-Presbyterian/Hudson Valley Hospital
1980 Crompond Road
Cortlandt Manor, NY 10567-4144
Phone (913) 734-3251

Other identifiers 1

IdentifierTypeStateIssuer
03158110MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
025147NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Physical Therapy & Wellness PC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720291263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEW YORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL",
            "address_2": "1980 CROMPOND ROAD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674144",
            "telephone_number": "913-734-3251",
            "fax_number": "914-737-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEW YORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL",
            "address_2": "1980 CROMPOND ROAD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-734-3251",
            "fax_number": "914-737-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELLA",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "P.T., DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025147",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "025147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03158110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.