Individual provider Active NPI

Michelle Ramesh Latin, PHYSICAL THERAPIST

  • Physical Therapist
  • Syosset, NY
National Provider Identifier
1811132939
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011145-1 Issued in NY
Practice address
2 Roosevelt Ave
Suite 300, Cooper Kids Therapy Associates
Syosset, NY 11791
Phone
(516) 496-4460
Fax
(516) 921-4432
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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 011145-1 NY Primary

Addresses

Primary practice location

2 Roosevelt Ave
Suite 300, Cooper Kids Therapy Associates
Syosset, NY 11791

Mailing address

2 Roosevelt Ave
Suite 300, Cooper Kids Therapy Associates
Syosset, NY 11791
Phone (516) 496-4460

Other names 1

  • Michelle Ramesh Ahdot Former name

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
011145-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

Organizations & group practices 2

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1811132939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVE",
            "address_2": "SUITE 300, COOPER KIDS THERAPY ASSOCIATES",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-496-4460",
            "fax_number": "516-921-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVE",
            "address_2": "SUITE 300, COOPER KIDS THERAPY ASSOCIATES",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-496-4460",
            "fax_number": "516-921-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIN",
        "first_name": "MICHELLE",
        "middle_name": "RAMESH",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011145-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RAMESH AHDOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.