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

Carl Mico Rojales Natividad, PT, CLT, CWS

Individual provider Physical Therapist · NPI 1124801535

Carl Mico Rojales Natividad, PT, CLT, CWS is a Physical Therapist in Private Practice in Long Beach, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

640 W Broadway
Long Beach, NY 11561-2900
Phone: (516) 431-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1345 Avenue Of The Americas, New York, NY 10105-0302 — (212) 981-1977

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 044627-01 (NY)

Record details

NPI number1124801535
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , CLT , CWS
Sole proprietorYes
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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