Active NPI
Michelle Roxas Natividad, PT
- Physical Medicine & Rehabilitation Physician
- New Rochelle, NY
National Provider Identifier
1740477892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 028628-1
- Practice address
- 111 Centre Ave Unit 164
New Rochelle, NY 10801-7276 - Phone
- (818) 919-8861
- NPI assigned
- Oct 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028628 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 028628-1 | NY | Primary |
Addresses
Primary practice location
111 Centre Ave Unit 164
New Rochelle, NY 10801-7276
Mailing address
111 Centre Ave Unit 164
New Rochelle, NY 10801-7276
Phone (818) 919-8861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028628-1 | Other | NY | LISCENSE |
Other names 1
- Michelle Natividad Lopez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028628-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ally Internal Medicine PC | Physical Therapist | Current | Accepting new patients |
| Total Rehab and Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Maspeth Roura Medical Care PC | Past | Accepting new patients |
Locations
2011 Westchester Ave
Bronx, NY 10462
Phone (516) 764-6464
Organizations & group practices 4
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.
-
- Physical Therapist
- Pearl River, NY
- NPI 1194314062
-
- Internal Medicine Physician
- Maspeth, NY
- NPI 1588851745
-
- Physical Therapist
- Brooklyn, NY
- NPI 1306071733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1740477892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CENTRE AVE UNIT 164",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017276",
"telephone_number": "818-919-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRE AVE UNIT 164",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017276",
"telephone_number": "818-919-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATIVIDAD",
"first_name": "MICHELLE",
"middle_name": "ROXAS",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028628",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "028628-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE",
"identifier": "028628-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "NATIVIDAD LOPEZ",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.