Active NPI
Michele Munson, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1396956876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2629
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2629 | NV | MD | Marriage & Family Therapist |
| 30041 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidener Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Michael B Schlink Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Carson City, NV
- NPI 1114027000
-
- Physical Therapist
- Reno, NV
- NPI 1881739571
-
- Physical Therapist
- Los Angeles, CA
- NPI 1861534984
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.