Michelle T Ponzi, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005736-1 Issued in NY

Practice address

8729 Drumlin Heights Dr
Baldwinsville, NY 13027-1462

Phone

(315) 382-8899

NPI assigned

Oct 29, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1972756310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 DRUMLIN HEIGHTS DRIVE",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "13027",
            "telephone_number": "315-382-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8729 DRUMLIN HEIGHTS DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271462",
            "telephone_number": "315-382-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZI",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005736-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Rising Counseling & Recovery Services
• Linda Beth Pientka, LPN
• Pinnacle DMX Imaging, LLC
• Podiatry Services of Central New York, PC
• Bettina Polinsky
• Edward Felix Pospiech, PA
• Amy Potrzeba
• Premier Medical Equipment, LLC
• Tracey Prokop, CCC/SLP
• Jessica Pruitt

• Physical Therapy Assistant in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.