Active NPI
Joanne Mimm, PT
- Physical Therapist
- Rancho Santa Margarita, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11613
- Practice address
- 29803 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-3609 - Phone
- (949) 459-9010
- NPI assigned
- Nov 15, 2006
- 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 | PT11613 | CA | Primary |
Addresses
Primary practice location
29803 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-3609
Mailing address
29803 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-3609
Phone (949) 459-9010
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, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Avocado Ave
Suite 307
Newport Beach, CA 92660-7704
Phone (949) 640-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT11613 | CA | MD | Physical Therapist |
| 11613 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scor Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Victoria Adams | Past | Accepting new patients | |
| Rancho Santa Margarita Physical Therapy Sports Medicine Inc | Past | Accepting new patients |
Locations
29803 Santa Margarita Pkwy
Rcho Sta Marg, CA 92688
Phone (949) 459-9010
653 Camino de los Mares
Ste 110
San Clemente, CA 92673
Phone (949) 496-0122
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.
-
- Clinic/Center
- Newport Beach, CA
- NPI 1164466785
-
- Physical Therapy Clinic/Center
- San Clemente, CA
- NPI 1881795375
Physical Therapist
-
- Physical Therapy Clinic/Center
- Rancho Santa Margarita, CA
- NPI 1477653525
-
- Occupational Therapist
- Newport Beach, CA
- NPI 1679518716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407929995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29803 SANTA MARGARITA PKWY",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926883609",
"telephone_number": "949-459-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29803 SANTA MARGARITA PKWY",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926883609",
"telephone_number": "949-459-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMM",
"first_name": "JOANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT11613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, 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.