Active NPI
Michelle L Donahue, PT, DPT
- Physical Therapist
- Victor, NY
National Provider Identifier
1962596973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025365-1
- Practice address
- 953 High St
Victor, NY 14564-1168 - Phone
- (585) 924-3252
- Fax
- (585) 742-7033
- NPI assigned
- Oct 3, 2006
- Last updated
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 025365-1 | NY | Primary |
Addresses
Primary practice location
953 High St
Victor, NY 14564-1168
Mailing address
953 High St
Victor, NY 14564-1168
Phone (585) 924-3252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-0213081 | Other | NY | TAX ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025365-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Central School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Victor, NY
- NPI 1053478446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1962596973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 HIGH ST",
"city": "VICTOR",
"state": "NY",
"postal_code": "145641168",
"telephone_number": "585-924-3252",
"fax_number": "585-742-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "953 HIGH ST",
"city": "VICTOR",
"state": "NY",
"postal_code": "145641168",
"telephone_number": "585-924-3252",
"fax_number": "585-742-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHUE",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025365-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "30-0213081",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Victor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.