Michael J Fenno, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25091 Issued in CA

Practice address

400 29TH St
Suite 502
Oakland, CA 94609-3522

Phone

(415) 652-6570

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Physical Therapy PCGroup PAC ID 6406022078, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renew Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Novato, CA
  • NPI 1255508453

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Momentum Physical Therapy

  • Physical Therapist
  • Richmond, CA
  • NPI 1942282405
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1396720876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "SUITE 502",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093522",
            "telephone_number": "415-652-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "SUITE 502",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093522",
            "telephone_number": "415-652-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Feng
• Nirupa Ruth Fenn, BCBA
• Rebecca Bebb Fenn, ASW
• Carol Fenner, PH.D.
• Kamla Fennimore, M.A.
• Andrew Jordan Fenster, MD
• Dan Fenyvesi, RD
• Simon Nathan Ferber, PSYD
• Carol Ferguson
• Jodie Lauren Ferguson

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.