Provider Demographics
NPI:1629853916
Name:OVERLY, MICHAEL HENRY PAPICA (PT)
Entity type:Individual
Prefix:MR
First Name:MICHAEL HENRY
Middle Name:PAPICA
Last Name:OVERLY
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:3926 62ND ST
Mailing Address - Street 2:APT 1C
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377
Mailing Address - Country:US
Mailing Address - Phone:347-362-1198
Mailing Address - Fax:
Practice Address - Street 1:400 COURT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4206
Practice Address - Country:US
Practice Address - Phone:718-855-1543
Practice Address - Fax:718-855-0893
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2025-06-30
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Provider Licenses
StateLicense IDTaxonomies
NY050882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist