Individual provider Active NPI

Michael Joseph, DPT

  • Sports Physical Therapist
  • Pasadena, CA
National Provider Identifier
1265936710
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
294578 Issued in CA
Practice address
801 S Raymond Ave
Pasadena, CA 91105-3223
Phone
(626) 356-0599
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 294578 CA Primary

Addresses

Primary practice location

801 S Raymond Ave
Pasadena, CA 91105-3223

Mailing address

3782 Holden Cir
Los Alamitos, CA 90720-2216
Phone (562) 852-1225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530001034 CA Practitioner - Physical Therapist in Private Practice 6800151580 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2888 Long Beach Blvd
Suite 405
Long Beach, CA 90806-1551
Phone (562) 595-4489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294578CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Sports CurrentSince Oct 28, 2024 Accepting new patients
Optimum Physical Therapy CurrentSince Dec 1, 2018 Accepting new patients
Sports Injury Physical Therapy, Inc Sports CurrentSince Feb 27, 2018 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Sports Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Oct 28, 2024 Accepting new patients
Beach Physicians Medical Group Inc CurrentSince May 22, 2023 Accepting new patients
Kevin Wentz Physical Therapy Corporation Sports PastSince Feb 27, 2018 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Sports Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Sports Past Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083

255 E Rincon St
Ste 112
Corona, CA 92879
Phone (951) 523-8509

10601 Walker St
Ste 200
Cypress, CA 90630
Phone (714) 229-3660

17742 Beach Blvd
Ste 215
Huntington Beach, CA 92647
Phone (714) 848-1655

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

5810 Downey Ave
Long Beach, CA 90805
Phone (562) 380-2178

5539 E Stearns St
#B
Long Beach, CA 90815
Phone (562) 855-1129

801 S Raymond Ave
Pasadena, CA 91105
Phone (626) 356-0599

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1265936710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 HOLDEN CIR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202216",
            "telephone_number": "562-852-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RAYMOND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053223",
            "telephone_number": "626-356-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "294578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.