Michele Ann De Micco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014251-1 Issued in NY

Practice address

16 Taylor Ave
Cortlandt Manor, NY 10567-4207

Phone

(914) 260-0243

NPI assigned

May 18, 2007

Sex

Female

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nysarc Inc Westchester County ChapterGroup PAC ID 1759272206, 9 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Nysarc Inc Westchester County Chapter

  • Community/Behavioral Health Agency
  • Hawthorne, NY
  • NPI 1780898643
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801004411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TAYLOR AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674207",
            "telephone_number": "914-260-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TAYLOR AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674207",
            "telephone_number": "914-260-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MICCO",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014251-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Vent MD PLLC
• Shantha S David, MD
• Sidoney Nicole Davis
• Lauren Day, PMHNP-BC
• Ayam De Leon II, LPN
• Jamie Hochman Dean, RD
• Wilfredo Decelin Contreras
• Shelby Del Rosario Deleon, PT
• Kathleen Ann Delgado, LPN
• Carla Devito, PA

• Physical Therapist in Cortlandt Manor, NY
• Providers in Cortlandt Manor, 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 Jul 8, 2007; 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.