Active NPI
Michael Patrick Flannagan Jr.
- Physical Therapist
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305059
- Practice address
- 737 Vista Grande Way Unit 310
Oceanside, CA 92057-7462 - Phone
- (954) 562-2590
- NPI assigned
- Mar 5, 2018
- Last updated
- Nov 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305059 | CA | Primary |
| Physical Therapy Assistant | 225200000X | 49204 | CA |
Addresses
Primary practice location
737 Vista Grande Way Unit 310
Oceanside, CA 92057-7462
Mailing address
1920 NW 105TH Ter
Pembroke Pines, FL 33026-2344
Other practice location 1
1920 NW 105th Ter
Pembroke Pines, FL 33026-2344
Phone (954) 562-2590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305059 | CA | MD | Physical Therapist |
| 49204 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaspar Physical Therapy a Professional Corporation | Current | Accepting new patients | |
| Tri-City Orthopaedic Surgery Medical Group Inc | Physical Therapist | Current | Accepting new patients |
| Tri City Orthopaedic Surgery Medical Group Inc | Current | Accepting new patients | |
| Gaspar Physical Therapy a Professional Corporation | Physical Therapist | Current | Accepting new patients |
| Tri-City Orthopaedic Surgery Medical Group Inc | Physical Therapist | Past | Accepting new patients |
Locations
6102 Avenida Encinas
Ste E
Carlsbad, CA 92011
Phone (760) 634-9750
6121 Paseo del Norte
Carlsbad, CA 92011
Phone (760) 477-1350
6121 Paseo del Norte
Ste 200
Carlsbad, CA 92011
Phone (760) 448-9050
6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942
3809 Plaza Dr
Ste 112
Oceanside, CA 92056
Phone (760) 941-2630
3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350
981 Lomas Santa Fe Dr
Ste A
Solana Beach, CA 92075
Phone (858) 794-9995
1958 Via Ctr
Vista, CA 92081
Phone (760) 477-1350
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Doctors of Physical Therapy
- Specialist
- Carlsbad, CA
- NPI 1952544405
Physical Therapist
-
dba Orthopaedic Specialists of North County, Inc
- Orthopaedic Surgery Physician
- Oceanside, CA
- NPI 1861451445
Physical Therapist
-
dba Doctors of Physical Therapy
- Specialist
- San Diego, CA
- NPI 1154779759
-
dba Orthopaedic Specialists of North County Inc
- Orthopedic Physical Therapist
- Vista, CA
- NPI 1912314303
-
dba Orthopaedic Specialists of North County
- Orthopaedic Surgery Physician
- Oceanside, CA
- NPI 1659797231
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1194227363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 NW 105TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330262344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 VISTA GRANDE WAY UNIT 310",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920577462",
"telephone_number": "954-562-2590"
}
],
"practiceLocations": [
{
"address_1": "1920 NW 105th Ter",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330262344",
"country_code": "US",
"telephone_number": "954-562-2590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLANNAGAN",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305059",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "49204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.