Active NPI
Michele Marie Mulderig, PT
- Physical Therapist
- Getzville, NY
National Provider Identifier
1932431806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012835
- Practice address
- 4 Huntwood CT
Getzville, NY 14068-1295 - Phone
- (716) 689-0664
- NPI assigned
- Feb 3, 2010
- 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 | 012835 | NY | Primary |
Addresses
Primary practice location
4 Huntwood CT
Getzville, NY 14068-1295
Mailing address
4 Huntwood CT
Getzville, NY 14068-1295
Phone (716) 689-0664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1932431806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HUNTWOOD CT",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140681295",
"telephone_number": "716-689-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 HUNTWOOD CT",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140681295",
"telephone_number": "716-689-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDERIG",
"first_name": "MICHELE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Getzville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.