Individual provider Active NPI

Michelle P Tamondong, PT

  • Physical Therapist
  • Burbank, CA
National Provider Identifier
1356549885
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26341 Issued in CA
Practice address
213 W Alameda Ave Ste 102
Burbank, CA 91502-3027
Phone
(818) 566-8443
Fax
(818) 566-8434
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26341 CA Primary

Addresses

Primary practice location

213 W Alameda Ave Ste 102
Burbank, CA 91502-3027

Mailing address

29235 Bernardo Way
Santa Clarita, CA 91354-1583
Phone (310) 440-3538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000499 CA Practitioner - Physical Therapist in Private Practice 4587722319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

213 W Alameda Ave
Suite 102
Burbank, CA 91502-3027
Phone (818) 566-8443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burbank Physical Therapy & Wellness Inc Physical Therapist CurrentSince Oct 23, 2006 Accepting new patients

Locations

213 W Alameda Ave
Ste 102
Burbank, CA 91502
Phone (818) 566-8443

Organizations & group practices 1

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356549885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29235 BERNARDO WAY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913541583",
            "telephone_number": "310-440-3538",
            "fax_number": "818-566-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W ALAMEDA AVE STE 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915023027",
            "telephone_number": "818-566-8443",
            "fax_number": "818-566-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMONDONG",
        "first_name": "MICHELLE",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.