Michael James Tejano, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43384 Issued in CA

Practice address

5 Journey Ste 100
Aliso Viejo, CA 92656-5330

Phone

(949) 716-4548

Fax

(949) 271-2311

NPI assigned

Feb 16, 2016

Sex

Male

Sole proprietor

No

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 MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berube Physical Therapy IncGroup PAC ID 6709157472, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Berube Physical Therapy, Inc

  • Multi-Specialty Clinic/Center
  • Columbia Falls, MT
  • NPI 1700325420

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Berube Physical Therapy, Inc

  • Multi-Specialty Clinic/Center
  • Columbia Falls, MT
  • NPI 1255015921
  NPD

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1417316787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOURNEY STE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565330",
            "telephone_number": "949-716-4548",
            "fax_number": "949-271-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOURNEY STE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565330",
            "telephone_number": "949-716-4548",
            "fax_number": "949-271-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJANO",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Optometry Corporation
• Denise Taylor, PHARMD
• Lisa K Taylor, MT-BC, NMT
• Elizabeth Tecuanhuehue
• Jane Elizabeth Teixeira, LMFT
• Alexander Thermos, D.O., D.C.
• Thomas Ludema MD
• Patrick S Thompson, MD
• Kim C. Till, LCSW
• Timothy Robert Miller, M.D., Inc.

• Physical Therapist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.