Active NPI
Michael Spirito
- Orthopedic Physical Therapist
- Princeton, NJ
National Provider Identifier
1861093205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA01753400
- Practice address
- 743 Alexander Rd
Princeton, NJ 08540-6328 - Phone
- (609) 419-0455
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 40QA01753400 | NJ | |
| Orthopedic Physical Therapist | 2251X0800X | 40QA01753400 | NJ | Primary |
Addresses
Primary practice location
743 Alexander Rd
Princeton, NJ 08540-6328
Mailing address
743 Alexander Rd
Princeton, NJ 08540-6328
Phone (609) 419-0455
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01753400 | NJ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Institute,PA | Sports | 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": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1861093205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 ALEXANDER RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406328",
"telephone_number": "609-419-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 ALEXANDER RD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085406328",
"telephone_number": "609-419-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRITO",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NJ",
"license": "40QA01753400",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01753400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
- Speech Accent and Language Training Institute LLC
- Speech-Language Therapy Jewels
- Sandra Sperber, LCSW
- Cassandra Josephine Spinelli, OT
- Susan Falk Spira, LCSW
- Sports Physical Therapy Institute,PA
- Sri Health L L C
- Geetha Srinivasan, M.D.
- SSS Physical Medicine & Rehabilitation SVCS, LLC
- Berothy St. Jour
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.