Individual provider Active NPI

Michael Brian NG, DPT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1457639288
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38049 Issued in CA
Practice address
332 Pine St Ste 610
San Francisco, CA 94104-3228
Phone
(415) 732-5608
NPI assigned
Jul 27, 2011
Last updated
Jul 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38049 CA Primary

Addresses

Primary practice location

332 Pine St Ste 610
San Francisco, CA 94104-3228

Mailing address

4445 Ocean Ave
San Francisco, CA 94132-1221
Phone (415) 661-8176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000857 CA Practitioner - Physical Therapist in Private Practice 9133396591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G Sports Physical Therapy, Inc.Group PAC ID 3173792538, 7 clinicians

Practice addresses (Care Compare)

470 3Rd St
San Francisco, CA 94107-1274
Phone (415) 356-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38049CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
G Sports Physical Therapy, Inc. Physical Therapist CurrentSince Jul 22, 2011 Accepting new patients

Locations

332 Pine St
Ste 610
San Francisco, CA 94104
Phone (415) 732-5608

470 3rd St
San Francisco, CA 94107
Phone (415) 356-0800

470 3rd St
Ste 120
San Francisco, CA 94107
Phone (415) 356-0800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1457639288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321221",
            "telephone_number": "415-661-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 PINE ST STE 610",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043228",
            "telephone_number": "415-732-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.