Individual provider Active NPI

Michael T Piercey, DPT

  • Physical Therapist
  • Smyrna, DE
National Provider Identifier
1811149206
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002397 Issued in DE
Practice address
1000 Smyrna Clayton Blvd
Suite 4
Smyrna, DE 19977-2228
Phone
(302) 659-3102
Fax
(302) 653-5423
NPI assigned
Oct 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22700 MD
Physical Therapist 225100000X J1-0002397 DE Primary

Addresses

Primary practice location

1000 Smyrna Clayton Blvd
Suite 4
Smyrna, DE 19977-2228

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 1

IdentifierTypeStateIssuer
3553587000OtherIBC AMERIHEALTH

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
22700MDMDClinical Social Worker
J1-0002397DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Past Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients
Union Hospital of Cecil County Health Services, Inc Past Accepting new patients

Organizations & group practices 3

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1811149206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SMYRNA CLAYTON BLVD",
            "address_2": "SUITE 4",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772228",
            "telephone_number": "302-659-3102",
            "fax_number": "302-653-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCEY",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC AMERIHEALTH",
            "identifier": "3553587000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.