Active NPI
Michael Lawrence Ing, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1982810636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017457
- Practice address
- 162 W 56TH St
Ste. 204
New York, NY 10019 - Phone
- (212) 307-6570
- Fax
- (212) 307-6577
- NPI assigned
- May 16, 2007
- Sex
- Male
- 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 | 017457 | NY | Primary |
Addresses
Primary practice location
162 W 56TH St
Ste. 204
New York, NY 10019
Mailing address
162 W 56TH St
Ste. 204
New York, NY 10019
Phone (212) 307-6570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1939317 | Other | NY | OXFORD HEALTH PLANS PIN |
| 2633889 | Other | NY | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040616001399 | NY | Practitioner - Physical Therapist in Private Practice | 4789668799 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
162 W 56TH St
Suite 204
New York, NY 10019-8008
Phone (212) 307-6570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1982810636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 W 56TH ST",
"address_2": "STE. 204",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-307-6570",
"fax_number": "212-307-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 W 56TH ST",
"address_2": "STE. 204",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-307-6570",
"fax_number": "212-307-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ING",
"first_name": "MICHAEL",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS PIN",
"identifier": "P1939317",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2633889",
"state": "NY"
}
],
"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 Aug 13, 2007; 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.