Individual provider Active NPI

Merin Thazhathukunnel, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1790443612
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048314-01 Issued in NY
Practice address
70 Pine St
New York, NY 10005-1522
Phone
(646) 973-5433
Fax
(212) 379-2135
NPI assigned
Dec 8, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048314-01 NY Primary

Addresses

Primary practice location

70 Pine St
New York, NY 10005-1522

Mailing address

31 E 32ND St FL 4
New York, NY 10016-5595
Phone (212) 759-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220131000231 NY Practitioner - Physical Therapist in Private Practice 7012300817 Reassigns benefits to 3 organizations
I20250321000456 PA Practitioner - Physical Therapist in Private Practice 7012300817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1120 W Township Line Rd
Suite 110
Havertown, PA 19083-4930
Phone (267) 281-5253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048314-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spear Physical and Occupational Therapy, LLC Physical Therapist CurrentSince Jan 5, 2022 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Jun 18, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Jan 8, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients

Locations

81 Court St
Brooklyn, NY 11201
Phone (347) 474-6774

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

120 E 56th St
Rm 1010
New York, NY 10022
Phone (646) 790-7466

30 Broad St
New York, NY 10004
Phone (212) 530-0630

31 E 32nd St
Fl 4
New York, NY 10016
Phone (646) 973-5427

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

1120 W Township Line Rd
Ste 110
Havertown, PA 19083
Phone (267) 281-5253

300 Welsh Rd
Bldg 1
Horsham, PA 19044

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1790443612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165595",
            "telephone_number": "212-759-2282",
            "fax_number": "212-379-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PINE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051522",
            "telephone_number": "646-973-5433",
            "fax_number": "212-379-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAZHATHUKUNNEL",
        "first_name": "MERIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048314-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.