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

Michaela Marie Fasolino, PT, DPT

Individual provider Physical Therapist · NPI 1760289706

Michaela Marie Fasolino, PT, DPT is a Physical Therapist in Private Practice in Poughkeepsie, New York. Qualified in 2024, 2 years ago. Practices with Moriarty Physical Therapy, PC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

301 Manchester Rd Ste 101
Poughkeepsie, NY 12603-2587
Phone: (845) 454-4137
Fax: (845) 454-6457
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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 053948 (NY)

Record details

NPI number1760289706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 27, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Moriarty Physical Therapy, P.C. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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