Michael Maggid, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3733 Issued in CA

Practice address

1455 Richardson CT
Santa Rosa, CA 95407-7488

Phone

(707) 762-3603

NPI assigned

Jan 2, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1114462066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 RICHARDSON CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077488",
            "telephone_number": "707-762-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 RICHARDSON CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077488",
            "telephone_number": "707-762-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGID",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA3733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azra Mael, M.D.
• Hannah Maese, CATC II
• Yimdriuska Magan Mendoza, MD, MPH
• Dawn H. Magdalin-Betts, M.D.
• Deborah Ann Magee, NP
• Billie Jean Magid, MFCC
• Genevra Magliocco, MD
• Sarah Magnani, MHRS
• Allie Kiersten Magnawa, OTR/L
• Michael Magnotti, MD, FACE, ECNU

• Physical Therapy Assistant in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; 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.