Individual provider Active NPI

Charles Meyers

  • Physical Therapist
  • New York, NY
National Provider Identifier
1912739848
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05306-1 Issued in NY
Practice address
333 E 95TH St Apt 6a
New York, NY 10128-5725
Phone
(917) 671-6753
NPI assigned
Aug 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 05306-1 NY Primary

Addresses

Primary practice location

333 E 95TH St Apt 6a
New York, NY 10128-5725

Mailing address

333 E 95TH St Apt 6a
New York, NY 10128-5725
Phone (917) 671-6753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240924003190 NY Practitioner - Physical Therapist in Private Practice 0042751513 Reassigns benefits to 1 organization
I20260506003107 WI Practitioner - Physical Therapist in Private Practice 0042751513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miccass Physical Therapy PCGroup PAC ID 8527100858, 10 clinicians
Capitol Physical Therapy Specialists LLCGroup PAC ID 4981931466, 24 clinicians

Practice addresses (Care Compare)

246 Columbus Ave
New York, NY 10023-3331
Phone (212) 595-4500

3525 University Ave
Madison, WI 53705-2140
Phone (608) 467-3537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05306-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miccass Physical Therapy, P.C. CurrentSince Sep 1, 2024 Accepting new patients

Locations

246 Columbus Ave
#C
New York, NY 10023
Phone (212) 595-4500

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1912739848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 95TH ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285725",
            "telephone_number": "917-671-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 95TH ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285725",
            "telephone_number": "917-671-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "05306-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.