Individual ProviderMichelle A GardellaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address100 Kinghorn St, Staten Island, NY 10312(646) 522-8247PECOS EnrollmentBased on the most recent information from CMS, provider Michelle A Gardella does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1750786422Provider TypeIndividualFull NameGardella, Michelle ATitleMs.CredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date10/23/2014Last Updated8/2/2018Contact InformationPractice LocationPractice Address100 Kinghorn St, Staten Island, NY 10312Phone(646) 522-8247FaxUnlisted FaxMailing LocationMailing Address100 Kinghorn St, Staten Island, NY 10312-6116Phone(646) 522-8247FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense40QA01581200New Jersey