Active NPI
Michael Anthony Dembik
- Physical Therapist
- Norwich, NY
National Provider Identifier
1871853135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 033750
- Practice address
- 6678 County Road 32
Norwich, NY 13815-3554 - Phone
- (607) 335-1231
- Fax
- (607) 335-1268
- NPI assigned
- May 21, 2012
- Last updated
- Jun 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033750 | NY | Primary |
Addresses
Primary practice location
6678 County Road 32
Norwich, NY 13815-3554
Mailing address
3977 Hollow Rd
Varysburg, NY 14167-9731
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 |
|---|---|---|---|
| 033750 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1871853135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3977 HOLLOW RD",
"city": "VARYSBURG",
"state": "NY",
"postal_code": "141679731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6678 COUNTY ROAD 32",
"city": "NORWICH",
"state": "NY",
"postal_code": "138153554",
"telephone_number": "607-335-1231",
"fax_number": "607-335-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMBIK",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-21",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.