Active NPI
Michelle Ayun Ayun Cruz, PT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1265752893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2307001471
- Practice address
- 928 Diamond Springs Rd Ste 103
Virginia Beach, VA 23455-6601 - Phone
- (577) 395-1975
- Fax
- (757) 425-7180
- NPI assigned
- Jun 5, 2010
- Last updated
- Dec 22, 2020
- Sex
- Female
- 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 | 23191 | MD | |
| Physical Therapist | 225100000X | 2307001471 | VA | Primary |
Addresses
Primary practice location
928 Diamond Springs Rd Ste 103
Virginia Beach, VA 23455-6601
Mailing address
928 Diamond Springs Rd Ste 103
Virginia Beach, VA 23455-6601
Phone (577) 395-1975
Other practice location 1
5660 Indian River Rd Ste 121
Virginia Beach, VA 23464-5240
Phone (757) 252-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2307001471 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holding LLC | Physical Therapist | Past | Accepting new patients |
| Accessible Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Sentara Hospitals | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Norfolk, VA
- NPI 1316590789
-
- Physical Therapist
- Greenbelt, MD
- NPI 1669410759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1265752893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 DIAMOND SPRINGS RD STE 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556601",
"telephone_number": "577-395-1975",
"fax_number": "757-425-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 DIAMOND SPRINGS RD STE 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556601",
"telephone_number": "577-395-1975",
"fax_number": "757-425-7180"
}
],
"practiceLocations": [
{
"address_1": "5660 Indian River Rd Ste 121",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234645240",
"country_code": "US",
"telephone_number": "757-252-5300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "MICHELLE",
"middle_name": "AYUN AYUN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-05",
"last_updated": "2020-12-22",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23191",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2307001471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.