Michael Runge, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

296384 Issued in CA

Practice address

370 Mulberry Dr Ste C
San Marcos, CA 92069-1950

Phone

(760) 798-1769

NPI assigned

Mar 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1083172712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 ALDER DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MULBERRY DR STE C",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920691950",
            "telephone_number": "760-798-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSF Ophthalmology, PC
• RSF Pharmaceuticals Inc
• Bianca Glenyce Rubin, MS BCBA
• Haley Marie Rubio, PA-C
• Joselynn Ruiz
• Shaelyn Dehao Rusnak
• Marie Ann Russell, MD.
• Mary Russell, FNP
• Cameron Rutters, DPT
• Weston Ryan, PT, DPT

• Physical Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.