Individual provider Active NPI

Michaela Martek Mejia, PT

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1902446552
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013225-1 Issued in NY
Practice address
1 Primrose LN
Huntington, NY 11743-1315
Phone
(631) 432-3025
NPI assigned
Jan 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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 013225-1 NY Primary

Addresses

Primary practice location

1 Primrose LN
Huntington, NY 11743-1315

Mailing address

1 Primrose LN
Huntington, NY 11743-1315
Phone (631) 432-3025

Other names 1

  • Michelle Mejia Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122001699 NY Practitioner - Physical Therapist in Private Practice 6204261225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Energize Home Physical Therapy PLLCGroup PAC ID 8426319161, 8 clinicians

Practice addresses (Care Compare)

33 Great Oak Rd
Saint James, NY 11780-1414
Phone (203) 232-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013225-1NYMDPhysical Therapist
013225NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Nurse Service and Hospice of Suffolk Inc. CurrentSince Jan 20, 2022 Accepting new patients
Energize Home Physical Therapy PLLC Physical Therapist CurrentSince Jan 15, 2020 Accepting new patients
Visiting Nurse Service and Hospice of Suffolk Inc CurrentSince Jan 20, 2022 Accepting new patients

Locations

505 Main St
Northport, NY 11768
Phone (631) 261-7200

Organizations & group practices 3

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": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1902446552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRIMROSE LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431315",
            "telephone_number": "631-432-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRIMROSE LN",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117431315",
            "telephone_number": "631-432-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEK MEJIA",
        "first_name": "MICHAELA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-12",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013225-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MEJIA",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.