Individual provider Active NPI

Ashlee Michelle Munoz, DPT

  • Physical Medicine & Rehabilitation Physician
  • Menifee, CA
National Provider Identifier
1043843501
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT297983 Issued in CA
Practice address
29650 Bradley Rd
Menifee, CA 92586-6521
Phone
(951) 672-0455
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT297983 CA Primary

Addresses

Primary practice location

29650 Bradley Rd
Menifee, CA 92586-6521

Mailing address

15156 Coral CT
Lake Elsinore, CA 92530-7317
Phone (949) 278-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200421000981 CA Practitioner - Physical Therapist in Private Practice 0648600346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Physical Therapy, IncGroup PAC ID 3072697879, 12 clinicians
Wav Wellness and Vitality Inc.Group PAC ID 8022342583, 3 clinicians

Practice addresses (Care Compare)

29650 Bradley Rd
Menifee, CA 92586-6521
Phone (951) 672-0455

3551 Camino Mira Costa
Suite N
San Clemente, CA 92672-3508
Phone (949) 373-5054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297983CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Physical Therapy, Inc CurrentSince Mar 1, 2020 Accepting new patients
Wav Wellness and Vitality Inc. CurrentSince Jan 13, 2026 Accepting new patients

Locations

3551 Camino Mira Costa
Ste N
San Clemente, CA 92672
Phone (949) 373-5054

29650 Bradley Rd
Sun City, CA 92586
Phone (951) 672-0455

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1043843501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15156 CORAL CT",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307317",
            "telephone_number": "949-278-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29650 BRADLEY RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866521",
            "telephone_number": "951-672-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ASHLEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT297983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.