Individual provider Active NPI

Michael Cormican, PT

  • Physical Therapist
  • Garden City, NY
National Provider Identifier
1912064452
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012035 Issued in NY
Practice address
401 Franklin Ave Ste 109
Garden City, NY 11530-5942
Phone
(516) 742-4222
Fax
(516) 742-4223
NPI assigned
Jan 3, 2007
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 012035 NY Primary

Addresses

Primary practice location

401 Franklin Ave Ste 109
Garden City, NY 11530-5942

Mailing address

401 Franklin Ave Ste 109
Garden City, NY 11530-5942
Phone (516) 742-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121220000388 NY Practitioner - Physical Therapist in Private Practice 2264683119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascend Physical Therapy PCGroup PAC ID 7113372640, 2 clinicians

Practice addresses (Care Compare)

401 Franklin Ave
Suite 109
Garden City, NY 11530-5942
Phone (516) 742-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Physical Therapy P.C. Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients
Metro Sports Physical Therapy PC Past Accepting new patients

Locations

401 Franklin Ave
Ste 109
Garden City, NY 11530
Phone (516) 742-4222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1912064452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 FRANKLIN AVE STE 109",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305942",
            "telephone_number": "516-742-4222",
            "fax_number": "516-742-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FRANKLIN AVE STE 109",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305942",
            "telephone_number": "516-742-4222",
            "fax_number": "516-742-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMICAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.