Michael Vincent Procaccini, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020541-1 Issued in NY

Practice address

55 Hopewell Dr
Stony Brook, NY 11790-2340

Phone

(631) 258-9538

NPI assigned

Jun 12, 2006

Last updated

Feb 24, 2008By the provider in NPPES

Sex

Male

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

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy Occupational Therapy and Rehabilitation ServicGroup PAC ID 0446140446, 529 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.16 of 100Reported as group

Quality

70

Improvement activities

40

Cost

78.87

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.

• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
  • NPI 1770540593
  Medicare reassignment Care Compare group NPD
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Hewlett, NY
  • NPI 1063524197

  Physical Therapist

  Medicare reassignment NPD
• Back in Action Physical Therapy

  • Home Health Agency
  • Stony Brook, NY
  • NPI 1104076413
  NPD (past) Authorized official
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Richmond Hill, NY
  • NPI 1780071548

  Physical Therapist

  NPD
• Island Musculoskeletal Care, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Shirley, NY
  • NPI 1447362793

  Physical Therapist

  NPD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Occupational Therapist
  • White Plains, NY
  • NPI 1629825591
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203811200000",
    "number": "1740222959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HOPEWELL DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902340",
            "telephone_number": "631-258-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HOPEWELL DR",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902340",
            "telephone_number": "631-258-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCACCINI",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020541-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Price, MD
• Kristie L Price
• Lucyna Zofia Price, MD
• John Arthur Primavera, D.D.S.
• Stephen Albert Probst, MD
• Professional Orthopedic and Sports Physical Therapy, PC
• Michael Proothi, DMD, MD
• Claudia Mike Provenzale, AGNP
• Aurora Dawn Pryor, M.D.
• Pure Body Physical Therapy P.C.

• Physical Therapist in Stony Brook, NY
• Providers in Stony Brook, 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 Feb 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.