Individual provider Active NPI

Michele Munson, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1396956876
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2629 Issued in NV
Practice address
10780 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-7613
Phone
(310) 474-5150
NPI assigned
May 25, 2007
Reactivated
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2629 NV Primary
Physical Therapist 225100000X 30041 CA

Addresses

Primary practice location

10780 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-7613

Mailing address

303 Fleischmann Way
Carson City, NV 89703-2913
Phone (775) 885-7827

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120403000067 NV Practitioner - Physical Therapist in Private Practice 2860671690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Therapy and Rehabilitation IncGroup PAC ID 5294863395, 3 clinicians

Practice addresses (Care Compare)

303 Fleischmann Way
Carson City, NV 89703-2913
Phone (775) 885-7827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2629NVMDMarriage & Family Therapist
30041CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sidener Physical Therapy LLC Physical Therapist CurrentSince May 1, 2013 Accepting new patients
Michael B Schlink Inc Physical Therapist PastSince Jan 1, 2010 Accepting new patients

Locations

15 McCabe Dr
Ste 101
Reno, NV 89511
Phone (775) 331-3030

Organizations & group practices 3

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1396956876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FLEISCHMANN WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032913",
            "telephone_number": "775-885-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257613",
            "telephone_number": "310-474-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "MICHELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "deactivation_date": "2021-04-12",
        "reactivation_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2629",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.