Bakhom Micheal

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033723 Issued in NY

Practice address

899 Bowling Green Dr
Westbury, NY 11590-6103

Phone

(347) 656-6998

NPI assigned

Sep 28, 2014

Sex

Male

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Maurice Physical Therapy PCGroup PAC ID 1456648666, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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.

• St Maurice Physical Therapy PC

  • Physical Therapist
  • Westbury, NY
  • NPI 1588017677
  Medicare reassignment Care Compare group NPD
• Southwoods Physical Therapy PC

  • Physical Therapist
  • New City, NY
  • NPI 1609661917
  Medicare reassignment NPD

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1922401538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 BOWLING GREEN DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906103",
            "telephone_number": "347-656-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 BOWLING GREEN DR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906103",
            "telephone_number": "347-656-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEAL",
        "first_name": "BAKHOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-28",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Victoria Meyer
• Teneil Meyer
• Patricia Ann Meyers, PT
• Jennifer Mezey, LCSW,
• Michael J. Everoski M.D. P.C.
• Amanda Michel
• Jeff Wensly Michel
• Richard M Michelin
• Bonnie Sue Michelman
• Mid Island Dermatology

• Physical Therapist in Westbury, NY
• Providers in Westbury, 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 Dec 31, 2019; 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.