Active NPI
Michelle Musetti PT PC
- Physical Therapist
- Moriches, NY
National Provider Identifier
1851756902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 020627-1
- Legal business name
- MICHELLE MUSETTI PT PC
- Practice address
- 225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425 - Phone
- (631) 878-7012
- Fax
- (631) 878-7015
- NPI assigned
- Dec 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Satur
- Title
- Office Manager
- Phone
- (631) 878-7012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 020627-1 | NY | Primary |
Addresses
Primary practice location
225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425
Mailing address
225 Montauk Hwy
Suite 109
Moriches, NY 11955-1425
Phone (631) 878-7012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814748 | Other | NY | THE EMPIRE PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160203000644 | NY | Part B Supplier - Clinic/Group Practice | 9032413505 |
Receives reassigned benefits from 3 practitioners Practice locations: Moriches, NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450224000000",
"number": "1851756902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MONTAUK HWY",
"address_2": "SUITE 109",
"city": "MORICHES",
"state": "NY",
"postal_code": "119551425",
"telephone_number": "631-878-7012",
"fax_number": "631-878-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MONTAUK HWY",
"address_2": "SUITE 109",
"city": "MORICHES",
"state": "NY",
"postal_code": "119551425",
"telephone_number": "631-878-7012",
"fax_number": "631-878-7015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE MUSETTI PT PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-16",
"last_updated": "2015-12-16",
"status": "A",
"authorized_official_last_name": "SATUR",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-878-7012"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "020627-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE EMPIRE PLAN",
"identifier": "814748",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moriches, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.