Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bakhom Micheal

Individual provider Physical Therapist · NPI 1922401538

Bakhom Micheal is a Physical Therapist in Private Practice in Westbury, New York. Qualified in 2012, 14 years ago. Practices with St Maurice Physical Therapy PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

899 Bowling Green Dr
Westbury, NY 11590-6103
Phone: (347) 656-6998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 033723 (NY)

Record details

NPI number1922401538
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 28, 2014
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Maurice Physical Therapy Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Westbury