Michael Cordon Bishop, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38547 Issued in CA

Practice address

957 Faulkner Rd Ste 105
Santa Paula, CA 93060-9129

Phone

(805) 749-2273

NPI assigned

Dec 20, 2011

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Second Wave Physical Therapy IncGroup PAC ID 3274996905, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Second Wave Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Oxnard, CA
  • NPI 1851082812

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1770830325
  Medicare reassignment NPD
• Two Trees Physical Therapy & Wellness Inc

  • Physical Therapist
  • Ventura, CA
  • NPI 1205453305
  NPD

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1093084188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 FAULKNER RD STE 105",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609129",
            "telephone_number": "805-749-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 FAULKNER RD STE 105",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609129",
            "telephone_number": "805-749-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MICHAEL",
        "middle_name": "CORDON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BH-VC Opco SP, LLC
• BH/BC Opco SP LLC Jacksonhouse
• Elizabeth Leslie Bidula, PHARMD.
• Bio-Medical Applications of California, Inc.
• Gregory Paul Biolley, LCSW
• Emily Marie Blackwell, OTR/L
• Jessica Blaeser
• Ronald Dan Bogoian, DPM
• Brenda L Bonilla, LVN
• Bortay Dehnadi,DDS and Nirup Reddy,DDS

• Physical Therapist in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.