Active NPI
Michelle C Mezin
- Physical Therapist
- Laguna Niguel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT296766
- Practice address
- 30100 Town Center Drive
Suite Yz
Laguna Niguel, CA 92677-1250 - Phone
- (949) 276-5401
- Fax
- (949) 276-5403
- NPI assigned
- Jun 21, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT296766 | CA | Primary |
Addresses
Primary practice location
30100 Town Center Drive
Suite Yz
Laguna Niguel, CA 92677-1250
Mailing address
23521 Paseo de Valencia
Suite B7
Laguna Hills, CA 92653-2843
Phone (949) 597-0007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT296766 | Other | CA | PT LICENSE |
Other names 1
- Michelle C Zens
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michellez@rauschpt.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3662 Katella Ave
Suite 105
Los Alamitos, CA 90720-3180
Phone (562) 799-4494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT296766 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impt, Inc. | Physical Therapist | Current | Accepting new patients |
| CPRX, Incorporated | Physical Therapist | Current | Accepting new patients |
| Pack Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
16561 Bolsa Chica St
Ste 100
Huntington Beach, CA 92649
Phone (714) 364-1313
17332 Von Karman Ave
Ste 120
Irvine, CA 92614
Phone (949) 861-8600
3662 Katella Ave
Ste 105
Los Alamitos, CA 90720
Phone (562) 799-4494
3662 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-4494
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 and National Provider Directory roles.
-
- Physical Therapist
- Los Alamitos, CA
- NPI 1184714883
-
- Orthopedic Physical Therapist
- Irvine, CA
- NPI 1184670804
-
- Physical Therapy Clinic/Center
- Laguna Niguel, CA
- NPI 1538110861
-
- Physical Therapist
- South Jordan, UT
- NPI 1336413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1336700285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23521 PASEO DE VALENCIA",
"address_2": "SUITE B7",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926532843",
"telephone_number": "949-597-0007",
"fax_number": "948-597-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30100 TOWN CENTER DRIVE",
"address_2": "SUITE YZ",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771250",
"telephone_number": "949-276-5401",
"fax_number": "949-276-5403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZIN",
"first_name": "MICHELLE",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT296766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT296766",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michellez@rauschpt.net",
"affiliation": "N",
"address_1": "30100 Town Center Dr Ste Yz",
"city": "Laguna Niguel",
"state": "CA",
"country_code": "US",
"postal_code": "926772064",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ZENS",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.