Charmaine Morcilla, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28547 Issued in NY

Practice address

2536 27TH St
1A
Astoria, NY 11102-2308

Phone

(347) 208-4511

NPI assigned

Mar 6, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physio Health Ny PT,PC

  • Physical Therapy Clinic/Center
  • Kew Gardens, NY
  • NPI 1063800670

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1922248707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 30TH AVE APT 5H",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 27TH ST",
            "address_2": "1A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022308",
            "telephone_number": "347-208-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCILLA",
        "first_name": "CHARMAINE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "28547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaeyoung Moon, L.AC.
• Moons Acupuncture PC
• Katie Moore
• Kioomars Moosazadeh, MD
• Adaiza Alexandra Mora
• Diana Rose Morcilla, OTR/L
• Emily Morgan, OT
• Melissa Morgan, LCSW
• Lily Moriarty, LMSW
• Ada Moritz-Chapelliquen, LCSW

• Physical Therapist in Astoria, NY
• Providers in Astoria, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.