Active NPI
Michelle Ramirez, PT
- Physical Therapist
- Los Osos, CA
National Provider Identifier
1467445320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 27170
- Practice address
- 2115 10TH St
Suite B
Los Osos, CA 93402-3244 - Phone
- (805) 528-3002
- Fax
- (805) 528-5341
- NPI assigned
- Aug 25, 2005
- 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 | PT 27170 | CA | Primary |
Addresses
Primary practice location
2115 10TH St
Suite B
Los Osos, CA 93402-3244
Mailing address
2115 10TH St
Suite B
Los Osos, CA 93402-3244
Phone (805) 528-3002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 27170 | Other | CA | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100329000368 | CA | Practitioner - Physical Therapist in Private Practice | 2860528981 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hughes/Brogan Physical Therapy
Practice addresses (Care Compare)
7145 N Chestnut Ave
Suite 105
Fresno, CA 93720-0359
Phone (559) 299-2244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27170 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Joseph Boehm, P.T. | Physical Therapist | Past | Accepting new patients |
Locations
7145 N Chestnut Ave
Ste 105
Fresno, CA 93720
Phone (559) 299-2244
Organizations & group practices 2
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 Therapist
- Los Osos, CA
- NPI 1902899875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1467445320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 10TH ST",
"address_2": "SUITE B",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023244",
"telephone_number": "805-528-3002",
"fax_number": "805-528-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 10TH ST",
"address_2": "SUITE B",
"city": "LOS OSOS",
"state": "CA",
"postal_code": "934023244",
"telephone_number": "805-528-3002",
"fax_number": "805-528-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 27170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT 27170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Osos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.