Provider Demographics
NPI:1326415480
Name:MAY, MICHAEL (PT ,DPT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:MAY
Suffix:
Gender:M
Credentials:PT ,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PASTURE LN
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-5618
Mailing Address - Country:US
Mailing Address - Phone:203-940-1428
Mailing Address - Fax:
Practice Address - Street 1:1171 E PUTNAM AVE
Practice Address - Street 2:BUILDING 2 - FLOOR 2
Practice Address - City:RIVERSIDE
Practice Address - State:CT
Practice Address - Zip Code:06878-1426
Practice Address - Country:US
Practice Address - Phone:203-637-1700
Practice Address - Fax:203-637-5447
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10625225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist