Michaela L Desir
Physical Therapist in Jersey City, New Jersey
1174039788- Practice location
- 115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551
- Phone
- 201-366-1115
- Fax
- 201-366-1117
- Last updated
- September 26, 2023
Michaela Lanae Desir is a Physical Therapist based in Jersey City, NJ. Michaela Lanae Desir practices in Jersey City, NJ. The NPI Number for Michaela Lanae Desir is 1174039788 and holds a License No. 40QA02003300 (NJ). The current practice location address for Michaela Lanae Desir is 115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551 and can be reached out via phone at 201-366-1115 and via fax at 201-366-1117.
Provider Profile Details
- NPI Number
- 1174039788
- Provider Name
- Michaela Lanae Desir
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551
- Phone Number
- 201-366-1115
- Fax Number
- 201-366-1117
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 19, 2017
- Last Update Date
- September 26, 2023
- Certification Date
- September 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Columbus Dr Ste 300
Jersey City, NJ 07302-3551 - City
- Jersey City
- State
- New Jersey
- Zip
- 07302-3551
- Phone Number
- 201-366-1115
- Fax Number
- 201-366-1117
Provider Business Mailing Address Details
- Address
- 26 Ave At Port Imperial Apt 226
West New York, NJ 07093-8392 - City
- West New York
- State
- NJ
- Zip
- 07093-8392
License Information
- License Number
- 40QA02003300
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michaela L Desir?
The NPI number of Michaela L Desir is 1174039788. It was assigned on December 19, 2017 and is currently active in the NPPES registry.
What is the specialty of Michaela L Desir?
Michaela L Desir is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02003300.
Where does Michaela L Desir practice?
The practice location is 115 Columbus Dr Ste 300, Jersey City, NJ 07302-3551. The office can be reached at 201-366-1115 (phone) or 201-366-1117 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174039788 directly on the NPPES registry website.