Michael Robert Defeo, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

030387 Issued in NY

Practice address

1325 Franklin Ave Ste Ll105
Garden City, NY 11530-1688

Phone

(516) 280-8811

Fax

(516) 280-8809

NPI assigned

Jul 10, 2008

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Performance Physical Therapy PCGroup PAC ID 2567501604, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.85 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.83

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Performance Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Garden City, NY
  • NPI 1285969188
  Medicare reassignment Care Compare group NPD Authorized official
• Liht Occupational Therapy PC

  • Rehabilitation Clinic/Center
  • West Hempstead, NY
  • NPI 1982749677
  NPD

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1942464714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE STE LL105",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301688",
            "telephone_number": "516-280-8811",
            "fax_number": "516-280-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 FRANKLIN AVE STE LL105",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301688",
            "telephone_number": "516-280-8811",
            "fax_number": "516-280-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFEO",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "030387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Rosa Orthopedic Services PC
• Dean P Pappas MD PC
• Leland M Deane, M.D.
• Manali Debnath, ARNP-C
• Anthony John Decamello, PHD
• Kristina M Defranco
• Matthew Patrick Defranco
• Dayenny Dejesus Romero, MD
• Michelle Del Re, M.S., CF-SLP, TSSLD
• Taylor Marie Del Valle, EDM, MA, LMHC

• Orthopedic Physical Therapist in Garden City, NY
• Providers in Garden City, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.