Michelle M Rutherford, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38725 Issued in CA

Practice address

10200 Trinity Pkwy Ste 205
Stockton, CA 95219

Phone

(209) 451-3920

Fax

(209) 451-3902

NPI assigned

Feb 14, 2012

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Michelle M Stephenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JBJC Inc

  dba Pine Street Physical & Occupational Therapy

  • Physical Therapy Clinic/Center
  • Stockton, CA
  • NPI 1861986887
  NPD
• JBJC Inc.

  dba Pine Street Physical & Occupational Therapy

  • Physical Therapy Clinic/Center
  • Stockton, CA
  • NPI 1417037946

  Physical Therapist

  NPD
• Central Valley Physical Therapy

  • Physical Therapist
  • Stockton, CA
  • NPI 1972520898
  NPD (past)
• CV Physical Therapy, Inc.

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Stockton, CA
  • NPI 1811150311

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1033482591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 E PINE ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800",
            "fax_number": "209-463-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TRINITY PKWY STE 205",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95219",
            "telephone_number": "209-451-3920",
            "fax_number": "209-451-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 W Hammer Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952092922",
            "country_code": "US",
            "telephone_number": "209-473-2383",
            "fax_number": "209-473-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "STEPHENSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason L Russell
• Sasha Russell
• Christopher Adamo Russo, DO, MPH
• Peter Joseph Russo, PA
• Luisa Rusta
• David Allan Rutter, R.N.
• Steven Ryan
• Emma Rymel
• Irma Francisca Rymers, FNP
• S & T Luxury Sober Living

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.