Individual provider Active NPI

Megan Elizabeth Czerniak, DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1831590868
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
038152 Issued in NY
Practice address
544 Union Ave
Apt 2W
Brooklyn, NY 11211-1209
Phone
(570) 449-4464
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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 038152 NY Primary

Addresses

Primary practice location

544 Union Ave
Apt 2W
Brooklyn, NY 11211-1209

Mailing address

544 Union Ave
Apt 2W
Brooklyn, NY 11211-1209
Phone (570) 449-4464

Other names 1

  • Miss Megan Elizabeth Doyle 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038152NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Life Therapy, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1831590868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 UNION AVE",
            "address_2": "APT 2W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111209",
            "telephone_number": "570-449-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 UNION AVE",
            "address_2": "APT 2W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111209",
            "telephone_number": "570-449-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNIAK",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DOYLE",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.