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

Michaela Lanae Desir

Individual provider Physical Therapist · NPI 1174039788

Michaela Lanae Desir is a Physical Therapist in Private Practice in Jersey City, New Jersey. Qualified in 2017, 9 years ago. Practices with Trinity Rehab Somerset PA, a 61-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
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Practice location Address checks out

115 Columbus Dr Ste 300
Jersey City, NJ 07302-3551
Phone: (201) 366-1115
Fax: (201) 366-1117
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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 40QA02003300 (NJ)

Record details

NPI number1174039788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2017
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Trinity Rehab Somerset Pa — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jersey City