Organization Active NPI

Mercoh Physical Therapy LLC

  • Physical Therapist
  • Roslyn Heights, NY
National Provider Identifier
1871800052
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23594 Issued in NY
Legal business name
MERCOH PHYSICAL THERAPY LLC
Practice address
189 Garden St
Roslyn Heights, NY 11577-1011
Phone
(917) 620-5381
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Meryl Cohen, PTNPI 1013138395
Title
Physical Therapist
Phone
(917) 620-5381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 23594 NY Primary

Addresses

Primary practice location

189 Garden St
Roslyn Heights, NY 11577-1011

Mailing address

189 Garden St
Roslyn Heights, NY 11577-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000105 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355510009 Receives reassigned benefits from 1 practitioner
Practice locations: Roslyn Heights, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1871800052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 GARDEN ST",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 GARDEN ST",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771011",
            "telephone_number": "917-620-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCOH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MERYL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-620-5381",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "23594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.

Verify at the official NPI Registry.