Mirage Physical Therapy, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT23575 Issued in CA

Legal business name

MIRAGE PHYSICAL THERAPY, INC

Practice address

35900 Bob Hope Dr
Suite# 225
Rancho Mirage, CA 92270-1766

Phone

(760) 328-3950

Fax

(760) 328-3951

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Ian McNeill, M.P.T.NPI 1881643690

Title

Owner Director

Phone

(760) 328-3950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Ian McNeill, M.P.T.

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1881643690
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427075050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR",
            "address_2": "SUITE# 225",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701766",
            "telephone_number": "760-328-3950",
            "fax_number": "760-328-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DR",
            "address_2": "SUITE# 225",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701766",
            "telephone_number": "760-328-3950",
            "fax_number": "760-328-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAGE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "760-328-3950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT23575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirage Endoscopy Center, L.P.
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• Mirage on Call Medical Group Inc
• Mirage Pain and Rehabilitation Associates a Medical Group Inc (Desert Pain & Rehabilitation Associates)
• Mirage Pain and Rehabilitation Associates a Medical Group, Inc. (Desert Pain & Rehabilitation Associates)
• Mirage Surgery Center
• Esmeralda Miranda
• Farshid Mirzaee, MD
• Elizabeth Misi
• Mission Home Health of Rancho Mirage, Inc.

• Specialist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.