Individual provider Active NPI

Michelle Ramirez, PT

  • Physical Therapist
  • Los Osos, CA
National Provider Identifier
1467445320
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27170 Issued in CA
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

Updated by the provider on Sep 23, 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 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

IdentifierTypeStateIssuer
PT 27170OtherCAPHYSICAL THERAPY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 TherapyGroup PAC ID 6507754884, 5 clinicians

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

LicenseStateTypeSpecialty
27170CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Physical Therapy Physical Therapist CurrentSince Feb 28, 2017 Accepting new patients
Joseph Boehm, P.T. Physical Therapist PastSince Feb 25, 2009 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.

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.

Verify at the official NPI Registry.