Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL WIRTH, DPT
Active Sole ProprietorDR. MICHAEL WIRTH, DPT is a Physical Therapy Assistant healthcare provider located in LAKE RONKONKOMA, New York. NPI 1306180583 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1306180583
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2012 (13.757512795834 yrs)
- Last Updated
- Dec 6, 2018
- License
-
033990 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 HAWKINS AVESTE 4LAKE RONKONKOMA, NY, 117792366Browse NY providers · Browse ZIP 11779
- Phone
- 6319817422
- Fax
- 6319812490
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MR. GREGORY BRET NEILSEN | MPT | 1851301311 |
| JOSEPH JOHN VALERIO | PT | 1477644011 |
| VICTORIA ANN VALERIO | PT | 1467543009 |
| MRS. KRISTY A GOODMAN | PT | 1396804449 |
| BARBARA M. CONNER | P.T. | 1366577538 |
| TRACEY LYNN SMITH | PT | 1356470751 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.