Active NPI
Tyrone G McSorley, PT OCS ATC
- Orthopedic Physical Therapist
- San Luis Obispo, CA
National Provider Identifier
1427100676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT22262
- Practice address
- 894 Meinecke Ave # B
San Luis Obispo, CA 93405 - Phone
- (805) 546-8040
- Fax
- (805) 546-0440
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT22262 | CA | Primary |
Addresses
Primary practice location
894 Meinecke Ave # B
San Luis Obispo, CA 93405
Mailing address
894 Meinecke Ave # B
San Luis Obispo, CA 93405
Phone (805) 546-8040
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, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
894 Meinecke Ave
Suite B
San Luis Obispo, CA 93405-1791
Phone (805) 546-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT22262 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Physical Therapy | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- San Luis Obispo, CA
- NPI 1821140088
Organizations & group practices 1
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 Therapy Clinic/Center
- San Luis Obispo, CA
- NPI 1396897542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427100676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "894 MEINECKE AVE # B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "93405",
"telephone_number": "805-546-8040",
"fax_number": "805-546-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "894 MEINECKE AVE # B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "93405",
"telephone_number": "805-546-8040",
"fax_number": "805-546-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSORLEY",
"first_name": "TYRONE",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "PT OCS ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT22262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, 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.