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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELE JO PETHERICK P.T.
NPI 1457505513
Physical Therapist - Pediatrics in Glen Cove, NY

Active since November 15, 2008
1 GEORGE ST, GLEN COVE, NY 11542(516) 690-3681 Get Directions Write a Review

NPPES record last updated: September 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Michele Jo Petherick P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELE JO PETHERICK P.T. (NPI 1457505513) is an individual pediatrics provider in Glen Cove, New York, licensed in New York (010022-1) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1457505513
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMICHELE JO PETHERICKCredential: P.T.
Location Address1 GEORGE STGlen Cove, NY 11542-1813
Mailing Address1 George StGlen Cove, NY 11542-1813 · (516) 690-3681
Phone(516) 690-3681
Sole ProprietorYes
Enumeration DateNovember 15, 2008
Last NPPES UpdateSeptember 5, 2026
NPPES CertifiedSeptember 5, 2026
✔ NPI 1457505513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NY · 010022-1
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License 010022-1 (NY)
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License 010022-1 (NY)
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 010022-1 (NY)
1 GEORGE ST, Glen Cove, NY 11542
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCEL-ABILITIES, LLC
Early Intervention Provider Agency
1 GEORGE ST
GLEN COVE, NY 11542
Nassau County (516) 690-3681

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michele Petherick's NPI number?

The NPI number for Michele Petherick is 1457505513. It was assigned to this individual provider in the NPPES registry on November 15, 2008.

Where is Michele Petherick located?

Michele Petherick practices at 1 George St, Glen Cove, NY 11542. The listed phone number is (516) 690-3681.

What is Michele Petherick's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Michele Petherick was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.