Michelle Donovan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7005 N Chestnut Ave
#102
Fresno, CA 93720-0348

Phone

(559) 323-4100

NPI assigned

Sep 1, 2016

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 Langley Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Sports and Orthopedic Physical Therapy Clinic IncGroup PAC ID 9436314200, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sports & Orthopedic Physical Therapy Clinic Inc

  • Physical Therapy Clinic/Center
  • Fresno, CA
  • NPI 1922186956

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1063968790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 N CHESTNUT AVE",
            "address_2": "#102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200348",
            "telephone_number": "559-323-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N CHESTNUT AVE",
            "address_2": "#102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200348",
            "telephone_number": "559-323-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LANGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yasmine Dong, M.D.
• Jimmy A Donkor, MD
• Matthew Donlon
• Kathy Donohue I, NP
• Curtis Donovan
• Cheryle Elizabeth Donson
• Ramsey Y Doo, D.D.S.
• Christie Leigh Dooley
• Jason William Doornenbal, MD
• Amaya Dorado

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.