Individual provider Active NPI

Max Biessmann, PT

  • Sports Physical Therapist
  • Orange, CA
National Provider Identifier
1124541016
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT292512 Issued in CA
Practice address
871 S Tustin St
Orange, CA 92866-3426
Phone
(714) 633-7227
NPI assigned
Jul 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 292512 CA
Sports Physical Therapist 2251S0007X PT292512 CA Primary

Addresses

Primary practice location

871 S Tustin St
Orange, CA 92866-3426

Mailing address

871 S Tustin St
Orange, CA 92866-3426
Phone (714) 633-7227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180718002299 CA Practitioner - Physical Therapist in Private Practice 9931456282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prosport Physical Therapy Professionals IncGroup PAC ID 0749510634, 93 clinicians

Practice addresses (Care Compare)

32302 Camino Capistrano
Suite 106
San Juan Capistrano, CA 92675-4505
Phone (949) 276-8845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292512CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Sports CurrentSince Mar 29, 2021 Accepting new patients
Sports Conditioning and Rehabilitation of California Inc Sports CurrentSince May 2, 2023 Accepting new patients
Prosport Physical Therapy Professionals Inc Sports Current Accepting new patients
Prosport Physical Therapy Professionals Inc CurrentSince Jun 27, 2022 Accepting new patients
Prosport Physical Therapy Professionals Inc Sports CurrentSince Jun 27, 2022 Accepting new patients

Locations

26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

871 S Tustin St
Orange, CA 92866
Phone (714) 633-7227

32302 Camino Capistrano
Ste 106
San Juan Capistrano, CA 92675
Phone (949) 276-8845

Organizations & group practices 6

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1124541016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663426",
            "telephone_number": "714-633-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 S TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928663426",
            "telephone_number": "714-633-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIESSMANN",
        "first_name": "MAX",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "292512",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT292512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.