Active NPI
Michaela Martek Mejia, PT
- Physical Therapist
- Huntington, NY
National Provider Identifier
1902446552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 013225-1
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 013225-1 | NY | MD | Physical Therapist |
| 013225 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Nurse Service and Hospice of Suffolk Inc. | Current | Accepting new patients | |
| Energize Home Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Visiting Nurse Service and Hospice of Suffolk Inc | Current | 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.
-
- Physical Therapist
- Saint James, NY
- NPI 1356849491
-
- Home Health Agency
- Northport, NY
- NPI 1225272511
-
- Community Based Hospice Care Agency
- Northport, NY
- NPI 1184652018
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.