NPIMap

Organization Active NPI

Miccass Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1932437134
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MICCASS PHYSICAL THERAPY, P.C.
Practice address
246 Columbus Ave
New York, NY 10023-3331
Phone
(212) 595-4500
Fax
(212) 595-4578
NPI assigned
Nov 27, 2009
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Jenny Chamoun, PTNPI 1467408757
Title
Owner/President
Phone
(212) 595-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

246 Columbus Ave
New York, NY 10023-3331

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100208000137 NY Part B Supplier - Clinic/Group Practice 8527100858 Receives reassigned benefits from 14 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

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

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

246 Columbus Ave
Ste C
New York, NY 10023

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1932437134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233331",
            "telephone_number": "212-595-4500",
            "fax_number": "212-595-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233331",
            "telephone_number": "212-595-4500",
            "fax_number": "212-595-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICCASS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-27",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "CHAMOUN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "212-595-4500",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.